Individual
VERENA RAQUEL NODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1324 OAK GROVE CT, KISSIMMEE, FL 34744-1553
(813) 562-8245
Mailing address
1324 OAK GROVE CT, KISSIMMEE, FL 34744-1553
(813) 562-8245
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12770
FL
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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