Individual
ANDREW TANGKEKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
244 SATINWOOD CIR, KISSIMMEE, FL 34743-8610
(321) 203-6711
Mailing address
244 SATINWOOD CIR, KISSIMMEE, FL 34743-8610
(321) 203-6711
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA18075
FL
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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