Individual
ERIC ALBERT ABELLA STO DOMINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
13649 CYGNUS DR, ORLANDO, FL 32828-9325
(407) 575-0546
Mailing address
13649 CYGNUS DR, ORLANDO, FL 32828-9325
(407) 575-0546
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11551
FL
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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