Individual
TONYO LORENZO SYLVESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 NORTH PAVILLION PLACE, PENNEY FARMS, FL 32079
(904) 284-3897
Mailing address
192 HERITAGE OAKS DR, SAINT JOHNS, FL 32259-2223
(301) 437-5175
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16797
FL
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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