Most Relevant Information
Provider Data
| NPI Number: | 1003561358 |
| Provider Name: | ANTONIO ACOSTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 17561 |
Most Important Dates
| Enumeration Date: | 02/15/2022 |
| Last Updated: | 02/15/2022 |
Provider Practice Location
3367 BURLINGTON DR
ORLANDO
FL
328379052
Practice Location Phone/Fax
| Phone: | 4077821150 |
| Fax: |
Provider Mailing Location
3367 BURLINGTON DR
ORLANDO
FL
328379052
Provider Mailing Phone/Fax
| Phone: | 4077821150 |
| Fax: |