Individual
BIANCA ELENA SOUKOVA JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
3227 HILLSDALE LN, KISSIMMEE, FL 34741-7561
(407) 990-2847
Mailing address
3227 HILLSDALE LN, KISSIMMEE, FL 34741-7561
(407) 990-2847
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16579
FL
Other
Enumeration date
12/16/2025
Last updated
02/10/2026
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