Individual
CARLY CECILIA POLLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9355 4TH ST N, ST PETERSBURG, FL 33702-3133
(727) 579-7974
Mailing address
3633 W WATERS AVE STE 700, TAMPA, FL 33614-2783
(813) 932-5119
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19677
FL
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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