Individual
DAISY ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6965 RED BUG LAKE RD, OVIEDO, FL 32765-6528
(407) 997-5250
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
828
FL
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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