Individual
MR. RAVINDRA JIBODH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1934 TUMBLEWATER BLVD, OCOEE, FL 34761-3349
(407) 398-9528
Mailing address
1934 TUMBLEWATER BLVD, OCOEE, FL 34761-3349
(407) 398-9528
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12522
FL
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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