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Individual

EDITH MOSESSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5535 S WILLIAMSON BLVD, STE 774, PORT ORANGE, FL 32128-8311
(800) 330-7711
Mailing address
951 TALL PINE DR, PORT ORANGE, FL 32127-7705

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11862
FL

Other

Enumeration date
07/19/2013
Last updated
07/19/2013
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