Individual
CAROL MACEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
560 80TH AVE, ST PETE BEACH, FL 33706-1606
(727) 363-4566
Mailing address
560 80TH AVENUE, ST PETE BEACH, FL 33706
(727) 363-4566
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11364
FL
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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