Individual
ANYSSA MATATALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8220 LAKEWOOD RANCH BLVD, LAKEWOOD RANCH, FL 34202-4237
(603) 553-7066
Mailing address
8220 LAKEWOOD RANCH BLVD UNIT 210, LAKEWOOD RANCH, FL 34202-5264
(321) 961-3489
(407) 386-6062
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/10/2015
Last updated
05/13/2021
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