Individual
ARIEL FLORES SILLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
4166 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-9209
(941) 766-1110
Mailing address
4166 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-9209
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT12953
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT12953
OTR LICENSE
FL
Enumeration date
02/21/2008
Last updated
02/21/2008
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