Individual
CARLENE CABOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD, SUITE 774, PORT ORANGE, FL 32128-8311
(800) 330-7711
(386) 944-7202
Mailing address
5535 S WILLIAMSON BLVD, SUITE 774, PORT ORANGE, FL 32128-8311
(800) 330-7711
(386) 944-7202
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
46TA09101800
NJ
224Z00000X
Occupational Therapy Assistant
A02099
MD
224Z00000X
Occupational Therapy Assistant
OC60452792
WA
224Z00000X
Occupational Therapy Assistant
Primary
OP007184
PA
224Z00000X
Occupational Therapy Assistant
OTA1298
ID
Other
Enumeration date
05/29/2014
Last updated
08/30/2015
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