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Individual

REBEKKAH NICOLE ROSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
111 E LAKE MARY BLVD STE 113, SANFORD, FL 32773-7111
(407) 203-9492
(321) 332-9768
Mailing address
703 ASHFORD OAKS DR APT 201, ALTAMONTE SPRINGS, FL 32714-5571
(954) 918-3693

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18848
FL
224Z00000X
Occupational Therapy Assistant
469867
FL

Other

Enumeration date
04/30/2022
Last updated
03/26/2023
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