Provider Demographics
NPI:1124070859
Name:ACOSTA, AURORA ANN (OTR/L)
Entity type:Individual
Prefix:MS
First Name:AURORA
Middle Name:ANN
Last Name:ACOSTA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9114 SW 113TH PLACE CIR E
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1174
Mailing Address - Country:US
Mailing Address - Phone:305-596-9459
Mailing Address - Fax:305-596-3077
Practice Address - Street 1:9114 SW 113TH PLACE CIR E
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1174
Practice Address - Country:US
Practice Address - Phone:305-596-9459
Practice Address - Fax:305-596-3077
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT1721225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics