Individual
MRS. YVONNE SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 MIDDLE ST, STE 1101, LAKE MARY, FL 32746-3594
(407) 985-0658
Mailing address
9435 DOWDEN RD APT 11111, ORLANDO, FL 32832-5697
(407) 267-5366
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14798
FL
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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