Individual
CAROL ANN DEFAZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
552 10TH PL, VERO BEACH, FL 32960-6823
(772) 494-3010
Mailing address
552 10TH PL, VERO BEACH, FL 32960-6823
(772) 494-3010
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13709
FL
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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