Individual
RONALD MANANQUIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3355 E SEMORAN BLVD, APOPKA, FL 32703-6062
(407) 862-6263
Mailing address
2820 W FAIRBANKS AVE, WINTER PARK, FL 32789-3317
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA9687
FL
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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