Individual
JEAN WADSON SAINTILUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 MYRNA STREET, ORLANDO, FL 32839-2569
(321) 987-4241
Mailing address
2401 MYRNA ST, ORLANDO, FL 32839-2569
(321) 987-4241
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11500
FL
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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