Individual
IMELDA VITUG LLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
(813) 978-5852
Mailing address
15635 INDIAN QUEEN DR, ODESSA, FL 33556-3012
(813) 972-2000
(813) 978-5852
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3325
FL
Other
Enumeration date
07/02/2006
Last updated
07/08/2007
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