Individual
VINCE CHARLES BABYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
21905 US HWY 19 N, CLEARWATER, FL 33765
(727) 669-4245
(727) 669-6835
Mailing address
9122 JAKES PATH, LARGO, FL 33771
(727) 586-5191
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
COTA9298
FL
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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