Individual
KATHLEEN CONTRERAS VALLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
861 W MORSE BLVD STE 1, WINTER PARK, FL 32789-3746
(407) 637-2277
Mailing address
820 HONOLULU WOODS LN, ORLANDO, FL 32824-9412
(337) 781-4420
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17565
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17565
OTA LICENSE
FL
Enumeration date
10/26/2020
Last updated
10/26/2020
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