Individual
PORTIA ELIZABETH EVERET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4401 E COLONIAL DR STE 107, ORLANDO, FL 32803-5200
(407) 898-5060
(407) 898-5185
Mailing address
429 HIDDEN MEADOWS LOOP APT 213, FERN PARK, FL 32730-2587
(352) 777-3441
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17655
FL
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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