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Individual

MICHELLE CHIRIBOGAJORGENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTA 16792

Contact information

Practice address
10624 SPRING BUCK TRL, ORLANDO, FL 32825-8521
(407) 538-3013
Mailing address
10624 SPRING BUCK TRL, ORLANDO, FL 32825-8521
(407) 538-3013

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32487
FL

Other

Enumeration date
09/06/2018
Last updated
09/06/2018
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