Individual
MS. DONNA VIZCARRONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2639 W STATE ROAD 434, LONGWOOD, FL 32779-4878
(321) 972-8326
Mailing address
6216 LAKE UNDERHILL RD, ORLANDO, FL 32807-4812
(845) 406-8836
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
006704-1
NY
224Z00000X
Occupational Therapy Assistant
Primary
OTA17892
FL
Other
Enumeration date
10/31/2008
Last updated
09/16/2021
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