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NPI Code Detail

MEDICARE: MRS. ROSE MARIE SANTOS OTR/L

MEDICARE:  MRS. ROSE MARIE SANTOS  OTR/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
1225X00000XOccupational TherapistOT3792FL

General Provider Information

NPI Number : 1790923787
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROSE MARIE SANTOS OTR/L
Provider Business Mailing Address
First Line : 18288 US HWY 41
Second Line :
City : LUTZ
State : FL
Zip : 33549
Country : US
Telephone Number : 813-527-9638
Fax Number :
Provider Business Practice Location Address
First Line : 18288 N US HIGHWAY 41
Second Line :
City : LUTZ
State : FL
Zip : 33549-4400
Country : US
Telephone Number : 813-527-9638
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2009
Last Update Date : 07/22/2024

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Directions to “ MRS. ROSE MARIE SANTOS OTR/L” Practice Location

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