Individual
MR. DINESH AGRAWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24814 PORTOFINO DR, LUTZ, FL 33559-7369
(813) 949-4708
Mailing address
24814 PORTOFINO DR, LUTZ, FL 33559-7369
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11163
FL
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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