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Individual

RAQUEL DO COUTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA LISENCE

Contact information

Practice address
5640 GRANT ST, HOLLYWOOD, FL 33021-5157
(786) 326-2462
Mailing address
5640 GRANT ST, HOLLYWOOD, FL 33021-5157
(786) 326-2462

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12112
FL

Other

Enumeration date
07/18/2014
Last updated
07/18/2014
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