Individual
PATRICIA ERIKA CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2040 HIGHWAY A1A STE 203, INDIAN HARBOUR BEACH, FL 32937-3566
(321) 537-1596
Mailing address
2040 HIGHWAY A1A STE 203, INDIAN HARBOUR BEACH, FL 32937-3566
(321) 537-1596
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 14369
FL
Other
Enumeration date
04/25/2015
Last updated
04/25/2015
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