Individual
DORA USTARIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4411 N HABANA AVE, TAMPA, FL 33614-7211
(732) 773-6899
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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