Individual
SHANDELYN LEWIS CARABALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2599 NW 55TH AVE, LAUDERHILL, FL 33313-2443
(954) 485-8873
Mailing address
2599 NW 55TH AVE, LAUDERHILL, FL 33313-2443
(954) 485-8873
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OT2161
FL
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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