Individual
TAMMY CALZADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 SPARKMAN ST, MELBOURNE, FL 32935-2731
(321) 821-8291
Mailing address
1111 SPARKMAN ST, MELBOURNE, FL 32935-2731
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10194
FL
Other
Enumeration date
08/18/2013
Last updated
08/18/2013
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