Individual
ELISE TASICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 S RIO GRANDE AVE STE 202, ORLANDO, FL 32809-4650
(407) 280-3776
(407) 454-9007
Mailing address
3045 N COMMERCE PKWY, MIRAMAR, FL 33025-3927
(786) 953-8500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT25591
FL
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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