Individual
MR. JAMES CLERIDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1215 KINGSLEY AVE, ORANGE PARK, FL 32073-4631
(904) 269-8922
Mailing address
8550 STURBRIDGE CIR W, JACKSONVILLE, FL 32244-6188
(904) 236-8752
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16577
FL
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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