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NPI Code Detail

MEDICARE: ZIELIA CRESPO ROSADO COTA/L

MEDICARE: ZIELIA CRESPO ROSADO COTA/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy AssistantOTA15291FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OTA15291OTHERFLFBOT

General Provider Information

NPI Number : 1174236459
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZIELIA CRESPO ROSADO COTA/L
Provider Business Mailing Address
First Line : 13540 17TH ST
Second Line :
City : DADE CITY
State : FL
Zip : 33525-5244
Country : US
Telephone Number : 352-437-5151
Fax Number : 813-212-3870
Provider Business Practice Location Address
First Line : 13540 17TH ST
Second Line :
City : DADE CITY
State : FL
Zip : 33525-5244
Country : US
Telephone Number : 352-437-5151
Fax Number : 813-212-3870
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2023
Last Update Date : 01/02/2023

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Directions to “ ZIELIA CRESPO ROSADO COTA/L” Practice Location

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