Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OTA13391 | FL |
NPI | 1013310077 |
---|---|
Provider Name | Dafne Rosario |
First Address | Orlando, FL 32822-3236 |
Second Address | Orlando, FL 32837-6105 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2014 |
Last Update Date | 06/10/2014 |