Individual
DESARAE COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13246 PIKE LAKE DR, RIVERVIEW, FL 33579-4039
(813) 727-4675
Mailing address
13246 PIKE LAKE DR, RIVERVIEW, FL 33579
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17772
FL
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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