Individual
ANNELISE ROMINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
18700 US HIGHWAY 90, ROBERTSDALE, AL 36567-3271
(850) 418-4589
Mailing address
7904 CAYENNE WAY, PENSACOLA, FL 32526-2919
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4479
AL
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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