Individual
ALYSSA HOPE KOLP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1851 ELKCAM BLVD, DELTONA, FL 32725-3922
(386) 789-3769
Mailing address
331 WESTERN RD, NEW SMYRNA BEACH, FL 32168-8970
(386) 314-1893
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15302
FL
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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