Individual
MISS ANGELINA FLOR GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
536 BRIARWOOD CIR, HOLLYWOOD, FL 33024-1398
(310) 739-9031
Mailing address
536 BRIARWOOD CIR, HOLLYWOOD, FL 33024-1398
(310) 739-9031
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18685
FL
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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