Individual
MISS MARICELA ISABEL HENLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA-L
Contact information
Practice address
6900 TAVISTOCK LAKES BLVD STE 400, ORLANDO, FL 32827-7593
(407) 970-0825
(321) 235-5506
Mailing address
15108 MOULTRIE POINTE RD, ORLANDO, FL 32828-6656
(407) 617-0168
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16945
FL
Other
Enumeration date
08/24/2019
Last updated
08/24/2019
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