Individual
MRS. MARTHA LILIANA HENAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
447 BELLA VIDA BLVD, ORLANDO, FL 32828-6717
(321) 961-3489
Mailing address
9629 ORANGE GROVE DR, TAMPA, FL 33618-4513
(407) 864-0820
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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