Individual
MRS. ZELMA DE LA TORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4464 W 15TH AVE, HIALEAH, FL 33012-3358
(786) 512-3874
(188) 859-5317
Mailing address
101 W 16TH ST, HIALEAH, FL 33010-3017
(305) 282-4337
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 12654
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003323500
—
FL
Enumeration date
08/29/2013
Last updated
08/29/2013
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