Individual
NEEDJE BEVERLY TAMBUNGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
15101 SHELL POINT BLVD, FORT MYERS, FL 33908-1694
(239) 466-1131
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17105
FL
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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