Individual
STEPHANIE BROOKE CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
25335 DARNOCH ST, SORRENTO, FL 32776-9655
(407) 310-9662
Mailing address
25335 DARNOCH ST, SORRENTO, FL 32776-9655
(407) 310-9662
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12027
FL
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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