Organization
WEST ORANGE SPEECH PATHOLOGIST INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERONICA BULLARD (OCCUPATIONAL THERAPIST ASSISTANT)
(407) 285-6256
Entity
Organization
Contact information
Practice address
6388 SILVER STAR RD STE 2E, ORLANDO, FL 32818-3235
(407) 298-5300
Mailing address
6388 SILVER STAR RD STE 2E, ORLANDO, FL 32818-3235
(407) 298-5300
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11296
FL
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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