Individual
DANELIS YELIE SERRANO MUNIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
716 E BELLA VISTA ST, LAKELAND, FL 33805-3009
(863) 683-6504
Mailing address
145 BELLARIA CT, AUBURNDALE, FL 33823-9774
(407) 731-3307
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16441
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111093400
—
FL
Enumeration date
01/21/2019
Last updated
04/11/2023
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