Individual
MS. CONNIE MUDARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
7355 AZALEA COVE CIR, ORLANDO, FL 32807
(407) 595-0874
Mailing address
7355 AZALEA COVE CIR # 207, ORLANDO, FL 32807-6214
(407) 228-9758
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1246
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT1246
OT LICENSE
FL
Enumeration date
08/05/2006
Last updated
05/31/2018
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