Individual
ATHLENE MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6152 VERDE TRL N, BOCA RATON, FL 33433-2430
(561) 852-4173
(561) 852-4956
Mailing address
8220 SW 22ND ST, APT. # 107, NORTH LAUDERDALE, FL 33068-5049
(954) 934-2964
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11055
FL
Other
Enumeration date
05/23/2010
Last updated
05/23/2010
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