Individual
DAKOTA CORNELIUS CHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1200 N CENTRAL AVE STE 110, KISSIMMEE, FL 34741-4439
(506) 340-7530
Mailing address
779 TERRACE SPRING DR, ORLANDO, FL 32828-6759
(407) 504-8189
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18192
FL
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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