Individual
CLARISA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
418 OTTER CREEK DR, KISSIMMEE, FL 34743-6141
(845) 300-4107
Mailing address
418 OTTER CREEK DR, KISSIMMEE, FL 34743-6141
(845) 300-4107
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11498
FL
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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