Individual
ALBA DE LAS NUECES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13136 ALDERLEY DR, ORLANDO, FL 32832-6342
(347) 468-6185
Mailing address
13136 ALDERLEY DR, ORLANDO, FL 32832-6342
(347) 468-6185
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
12/03/2020
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