Individual
HERBERT ALLEN PALLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15071 SHELL POINT BLVD, FORT MYERS, FL 33908-1639
(239) 415-5432
Mailing address
3718 CROFTON CT, FORT MYERS, FL 33916-7994
(401) 573-1392
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA18009
FL
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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