Most Relevant Information
Provider Data
| NPI Number: | 1003512906 |
| Provider Name: | NYLA JAY SANTIAGO |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | OTA19323 |
Most Important Dates
| Enumeration Date: | 02/01/2023 |
| Last Updated: | 02/01/2023 |
Provider Practice Location
15743 SCRIMSHAW DR
TAMPA
FL
336241570
Practice Location Phone/Fax
| Phone: | 8133915022 |
| Fax: |
Provider Mailing Location
15743 SCRIMSHAW DR
TAMPA
FL
336241570
Provider Mailing Phone/Fax
| Phone: | 8133915022 |
| Fax: |