Individual
MILENE ROSA MADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10009 N BROOKS ST, TAMPA, FL 33612-6951
(813) 585-8210
Mailing address
10009 N BROOKS ST, TAMPA, FL 33612-6951
(813) 585-8210
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15656
FL
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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