Individual
LINA MARIA MENESES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1142 DOUGLAS ST SE, PALM BAY, FL 32909-3849
(321) 917-1128
Mailing address
1142 DOUGLAS ST SE, PALM BAY, FL 32909-3849
(321) 917-1128
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11494
FL
Other
Enumeration date
02/28/2021
Last updated
02/28/2021
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