Individual
BARBARA MANDRISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1458 SW 19TH AVE, FORT LAUDERDALE, FL 33312-4172
(305) 761-5139
Mailing address
1458 SW 19TH AVE, FORT LAUDERDALE, FL 33312-4172
(305) 761-5139
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
22332
FL
Other
Enumeration date
09/11/2021
Last updated
09/13/2021
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