Individual
CHARLIE CASIMIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1024 WILLA SPRINGS DR, WINTER SPRINGS, FL 32708-5214
(407) 699-5506
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA1108
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10002908
—
FL
Enumeration date
03/23/2019
Last updated
03/23/2019
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