Individual
GLENDA I OSORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1902 59TH ST W, BRADENTON, FL 34209-4602
(941) 761-1000
Mailing address
6566 OSPREY LAKE CIR, RIVERVIEW, FL 33578-8965
(813) 325-2056
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA9389
FL
Other
Enumeration date
04/14/2019
Last updated
04/14/2019
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