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Individual

CHARITY JANE PERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
4301 N CENTRAL AVE, 3, TAMPA, FL 33603-3933
(310) 463-5277
Mailing address
4301 N CENTRAL AVE, 3, TAMPA, FL 33603-3933
(310) 463-5277

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
214213
TX
224Z00000X
Occupational Therapy Assistant
343323
OR
224Z00000X
Occupational Therapy Assistant
Primary
OTA 14538
FL
224Z00000X
Occupational Therapy Assistant
OTA.0000770
CO

Other

Enumeration date
11/07/2016
Last updated
11/07/2016
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