Individual
MRS. JULIE ENAMORADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4725 BELLWETHER LN, OXFORD, FL 34484-2980
(352) 430-0076
Mailing address
8124 JOYCE LN, LAKELAND, FL 33809-1501
(863) 370-6908
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12063
FL
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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