Individual
CLARISSA AVELLO ABDOLAHIFARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2258 CRYSTAL FALLS WAY, ORLANDO, FL 32824-4320
(407) 914-8340
Mailing address
2258 CRYSTAL FALLS WAY, ORLANDO, FL 32824-4320
(407) 914-8340
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14200
FL
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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