Individual
MRS. KRISTA DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1024 BRIDGEWAY BLVD, ORLANDO, FL 32828-6178
(407) 282-5521
Mailing address
1024 BRIDGEWAY BLVD, ORLANDO, FL 32828-6178
(407) 282-5521
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
2355S0801X
Speech-Language Assistant
—
—
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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