Individual
JACLYN ORLANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4024 CONWAY PLACE CIR, ORLANDO, FL 32812-7984
(407) 970-6291
Mailing address
4024 CONWAY PLACE CIR, ORLANDO, FL 32812-7984
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16281
FL
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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