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Individual

KANADA SORENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12425 RACE TRACK RD STE 100, TAMPA, FL 33626-3102
(866) 568-9068
(866) 360-5916
Mailing address
12425 RACE TRACK RD STE 100, TAMPA, FL 33626-3102

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
238165
CO

Other

Enumeration date
06/16/2008
Last updated
10/16/2008
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