Individual
LIUDMILA KOMAROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
911 S 3RD ST, NILES, MI 49120-3414
(269) 684-4320
Mailing address
100 WISTERIA DR, LONGWOOD, FL 32779-4937
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17568
FL
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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