Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OTA9457 | FL |
NPI | 1033237045 |
---|---|
Provider Name | Mrs. Mineira L Roman |
First Address | Orlando, FL 32832-7032 |
Second Address | Orlando, FL 32832-7032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 15/08/2016 |