Individual
MS. MARLA ENTELISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3911 GOLF PARK LOOP STE 105, BRADENTON, FL 34203-3453
(941) 756-1003
Mailing address
3911 GOLF PARK LOOP, #105, BRADENTON, FL 34203
(941) 756-1003
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17309
FL
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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