Individual
CARMEN PELLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1161 SW 45TH AVE, PLANTATION, FL 33317-4816
(786) 973-0556
Mailing address
1161 SW 45TH AVE, PLANTATION, FL 33317-4816
(786) 973-0556
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTA11476
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA11476
CMS
FL
Enumeration date
12/09/2014
Last updated
12/09/2014
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