Individual
TAYLOR ROSEANNE GIAMBALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1535 COGSWELL ST STE C24, ROCKLEDGE, FL 32955-2740
(321) 872-8737
Mailing address
1535 COGSWELL ST STE C24, ROCKLEDGE, FL 32955-2740
(321) 872-8737
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17154
FL
Other
Enumeration date
01/02/2020
Last updated
01/16/2020
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