Individual
COLETTE IWANSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12480 ROSE ST APT 4, SEMINOLE, FL 33772-4435
(727) 542-7149
Mailing address
12480 ROSE ST APT 4, SEMINOLE, FL 33772-4435
(727) 542-7149
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT8142
FL
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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