Individual
IRIS MINKON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
602 VONDERBURG DR STE 200, BRANDON, FL 33511-5900
(813) 653-1149
Mailing address
602 VONDERBURG DR STE 200, BRANDON, FL 33511-5900
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT7626
FL
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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