Individual
MRS. BEATRIZ EUGENIA MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
817 MADRID RD, KEY LARGO, FL 33037-4695
(305) 930-0194
Mailing address
817 MADRID RD, KEY LARGO, FL 33037-4695
(305) 930-0194
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
FL
224Z00000X
Occupational Therapy Assistant
Primary
OAT12802
FL
Other
Enumeration date
03/17/2013
Last updated
03/17/2020
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