Individual
ANTONIO MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1013 BARBER ST, SEBASTIAN, FL 32958-5560
(571) 236-4361
Mailing address
1013 BARBER ST, SEBASTIAN, FL 32958-5560
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15180
FL
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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