Individual
YAZMIN ELIS ANDINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
160 BOWIE LN APT 2, KISSIMMEE, FL 34743-4057
(407) 928-2913
Mailing address
160 BOWIE LN APT 2, KISSIMMEE, FL 34743-4057
(407) 928-2913
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11912
FL
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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