Individual
ANTONIO ROQUE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
5140 SW 156TH PL, MIAMI, FL 33185-4169
(786) 376-5110
Mailing address
5140 SW 156TH PL, MIAMI, FL 33185-4169
(786) 376-5110
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17114
FL
Other
Enumeration date
07/31/2021
Last updated
07/31/2021
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