Individual
REGINALD O'NEAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1252 S JOHN YOUNG PKWY, KISSIMMEE, FL 34741-6319
(407) 913-1010
Mailing address
2057 S KIRKMAN RD APT 131, ORLANDO, FL 32811-2264
(757) 663-2242
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14677
FL
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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