Individual
MISS AIDA IRIS SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
630 N. MAITLAND AVE, MAITLAND, FL 32751
(407) 539-2488
(407) 539-2408
Mailing address
630 N. MAITLAND AVE, MAITLAND, FL 32751
(407) 539-2488
(407) 539-2408
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OT3260
FL
235Z00000X
Speech-Language Pathologist
Primary
OT3260
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891150900
—
FL
Enumeration date
01/29/2007
Last updated
03/03/2011
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