Individual
GRETTEL DE LA TORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6090 W 18TH AVE APT 130, HIALEAH, FL 33012-6147
(305) 632-1659
Mailing address
6090 W 18TH AVE APT 130, HIALEAH, FL 33012-6147
(305) 632-1659
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11190
FL
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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