Individual
MABEL HO FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1091 KELTON AVE, OCOEE, FL 34761-3162
(407) 523-0300
Mailing address
3529 KING GEORGE DR, ORLANDO, FL 32835-5907
(407) 342-2437
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11552
FL
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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