Individual
AIDA ALEQUIN ROSICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
710 N SUN DR, LAKE MARY, FL 32746-2507
(407) 805-3131
Mailing address
710 N SUN DR, LAKE MARY, FL 32746-2507
(407) 805-3131
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA9592
FL
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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