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Individual

MELISSA A YABUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
824 N PARSONS AVE, BRANDON, FL 33510-3435
(813) 699-5213
Mailing address
10714 BOYETTE CREEK BLVD, RIVERVIEW, FL 33569-2724

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA18769
FL

Other

Enumeration date
02/22/2022
Last updated
02/22/2022
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