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Individual

ENRIQUE PUENTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, OTR/L

Contact information

Practice address
311 W BASS ST, KISSIMMEE, FL 34741-5011
(407) 624-4688
(407) 910-4223
Mailing address
336 BROAD ST STE 203, ROME, GA 30161-3006
(407) 624-4688
(407) 910-4223

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT23201
FL

Other

Enumeration date
06/15/2022
Last updated
06/15/2022
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