Individual
CORINE GRACE UMALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11401 OLD SAINT AUGUSTINE RD # 32258, JACKSONVILLE, FL 32258-1402
(904) 260-1818
Mailing address
93 RICHMOND DR, SAINT JOHNS, FL 32259-8026
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT12932
FL
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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