Individual
ROMANCHES PAPAYOUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
7801 AIRPORT PULLING RD N, NAPLES, FL 34109-1717
(239) 567-9790
Mailing address
561 18TH ST SE, NAPLES, FL 34117-9468
(813) 446-1557
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12388
FL
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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