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Individual

ILEANA CELESTE ROSARIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR, CHT

Contact information

Practice address
13000 BRUCE B. DOWNS BLVD., JAMES A. HALEY VA HOSPITAL, TAMPA, FL 33612
(813) 972-2000
Mailing address
9227 PEBBLE CREEK DRIVE, TAMPA, FL 33647-2455
(813) 994-2583

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13017
FL
225XH1200X
Hand Occupational Therapist
OT 13017
FL

Other

Enumeration date
01/22/2007
Last updated
10/15/2010
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