RAUL IVAN ACOSTA

MIAMI LAKES, FL
NPI1629651914
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: FL  OT21796)
Enumeration Date2021-05-04
Last Update Date2021-05-04
Business Address
RAUL IVAN ACOSTA OTR
5190 NW 167TH ST STE 304
MIAMI LAKES, FL 33014-6338
Phone number: 305-756-9947
Mailing Address
RAUL IVAN ACOSTA OTR
140 LAKEVIEW DR APT 202
WESTON, FL 33326-2518
Phone number: 305-879-3436