Individual
ANDERSTON ST GERMAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
9900 W SAMPLE RD STE 102, CORAL SPRINGS, FL 33065-4008
(954) 341-7875
(954) 341-7895
Mailing address
6620 SW 20TH ST, PLANTATION, FL 33317-5105
(305) 528-0474
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT11946
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019346600
—
FL
Enumeration date
06/20/2018
Last updated
06/20/2018
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