Healthcare Provider Details

I. General information

NPI: 1881013613
Provider Name (Legal Business Name): ASHLEY ROJAS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2014
Last Update Date: 04/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 NE 87TH ST
EL PORTAL FL
33138-3040
US

IV. Provider business mailing address

45 NE 87TH ST
EL PORTAL FL
33138-3040
US

V. Phone/Fax

Practice location:
  • Phone: 305-799-5960
  • Fax:
Mailing address:
  • Phone: 305-799-5960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number16161
License Number StateZZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: