Individual
MRS. DEMETRIA S AQUIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7460 LAKE BREEZE DR, FORT MYERS, FL 33907-8090
(239) 481-6615
Mailing address
7460 LAKE BREEZE DR, FORT MYERS, FL 33907-8090
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT11589
FL
Other
Enumeration date
04/01/2009
Last updated
10/07/2009
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