Individual
MR. CARLO BARTOLATA MONTENEGRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.R.
Contact information
Practice address
2800 RULEME ST, APT C-35, EUSTIS, FL 32726-6543
(321) 946-1617
Mailing address
2800 RULEME ST, APT C-35, EUSTIS, FL 32726-6543
(321) 946-1617
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12444
FL
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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