Individual
MS. BERNITA VONNETTE EUGENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1223 SUWANEE RD, DAYTONA BEACH, FL 32114-5918
(954) 483-0460
Mailing address
PO BOX 11232, DAYTONA BEACH, FL 32120-1232
(954) 483-0460
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA18990
FL
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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