Individual
MARIANE DELISSE ROSADO ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1239 BALLARD GREEN PL, BRANDON, FL 33511-2389
(813) 215-2162
(813) 354-4511
Mailing address
1239 BALLARD GREEN PL, BRANDON, FL 33511-2389
(813) 215-2162
(813) 354-4511
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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