Individual
ITALIA NICOLE ALICEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
113 W CHAPMAN RD, OVIEDO, FL 32765-8895
(407) 790-5601
Mailing address
14939 TWINBERRY DR, ORLANDO, FL 32828-7332
(808) 220-1707
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
23410
FL
261Q00000X
Clinic/Center
23410
FL
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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