Individual
ANNA CELESTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 N SUN DR, LAKE MARY, FL 32746-2507
(407) 805-3133
Mailing address
710 N. SUN DR, LAKE MARY, FL 32746
(407) 805-3133
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10635
FL
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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