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Individual

JOSE CHRISTOPHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
4411 N HABANA AVE, TAMPA, FL 33614-7211
(813) 872-2777
Mailing address
2294 CEDAR TRACE CIR, TAMPA, FL 33613-2587
(813) 859-0849

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
07/11/2022
Last updated
07/11/2022
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