Individual
ANNALISE NICOLE QUEIPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
12601 SW 264TH ST, HOMESTEAD, FL 33032-7942
(786) 227-0912
Mailing address
12601 SW 264TH ST, HOMESTEAD, FL 33032-7942
(786) 227-0912
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19292
FL
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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