Individual
MRS. MARCELLE HORN-MANDIOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
309 FOX SQUIRREL LN, LONGWOOD, FL 32779-4904
(407) 364-9070
(305) 359-9261
Mailing address
309 FOX SQUIRREL LN, LONGWOOD, FL 32779-4904
(407) 364-9070
(305) 359-9261
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4403
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004591600
—
FL
05
—
004591601
—
FL
Enumeration date
05/30/2007
Last updated
01/24/2020
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