Individual
SOILA DIANA LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7300 OLEANDER AVE, PORT ST LUCIE, FL 34952
(772) 466-4100
Mailing address
70 SONRISE PL, APT 201, FELLSMERE, FL 32948
(772) 321-1806
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10827
FL
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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