Individual
CRISTIANE CARMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
2530 RIDGETOP WAY, VALRICO, FL 33594
(813) 684-9985
(813) 643-1387
Mailing address
2530 RIDGETOP WAY, VALRICO, FL 33594-4223
(813) 684-9985
(813) 643-1387
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
OT3911
FL
225XN1300X
Neurorehabilitation Occupational Therapist
OT0003911
FL
225XP0200X
Pediatric Occupational Therapist
Primary
OT0003911
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
885541200
—
FL
05
—
889657700
—
FL
Enumeration date
04/20/2006
Last updated
07/03/2018
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