Individual
MRS. TAIMI SANTISTEBAN SOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3342 CIRCLE BROOK DR APT H, ROANOKE, VA 24018-7250
(786) 219-5024
Mailing address
3342 CIRCLE BROOK DR APT H, ROANOKE, VA 24018-7250
(786) 219-5024
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119009094
VA
225XP0200X
Pediatric Occupational Therapist
OT 18289
FL
Other
Enumeration date
08/09/2011
Last updated
02/09/2022
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