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Individual

CARISSA FORTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
1600 SW CAPRI ST, PALM CITY, FL 34990-4520
(772) 223-5863
Mailing address
11192 46TH PL N, WEST PALM BEACH, FL 33411-9137
(197) 898-7814

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17421
FL

Other

Enumeration date
03/21/2021
Last updated
03/21/2021
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