MEDICARE: LUISA ROJAS

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
1	224Z00000X	Occupational Therapy Assistant	14347	FL

General Provider Information

NPI Number	:	1700263084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUISA ROJAS

Provider Business Mailing Address
First Line	:	1675 KUDZA RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1675 KUDZA RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-5522
Country	:	US
Telephone Number	:	561-889-3944
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2015
Last Update Date	:	05/06/2015

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