Individual
ALEXSANDRA ESTRADA NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
201 PARK PLACE BLVD, KISSIMMEE, FL 34741-2345
(407) 530-5063
Mailing address
14701 TIMUCUA PL, CLERMONT, FL 34711-6232
(407) 864-2292
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12991
FL
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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