Individual
DEBRA L MASTOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD, STE #774, PORT ORANGE, FL 32128-8311
(800) 330-7711
Mailing address
7304 CASWELL RD, BYRON, NY 14422-9541
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
TX
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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