Individual
BRYAN PALACIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
2629 DEL PRADO BLVD S, CAPE CORAL, FL 33904-5769
(239) 246-6972
Mailing address
160 SE 17TH ST, CAPE CORAL, FL 33990-2213
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20681
FL
Other
Enumeration date
03/08/2020
Last updated
03/09/2020
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