Individual
ELAINE NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA12414
Contact information
Practice address
179 BROYLES DR SE, PALM BAY, FL 32909-2350
(321) 844-1010
Mailing address
179 BROYLES DR SE, PALM BAY, FL 32909-2350
(321) 844-1010
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12414
FL
Other
Enumeration date
02/08/2013
Last updated
03/13/2024
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