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Individual

DR. ATUL TAIWADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTD OTR/L

Contact information

Practice address
15624 N HIMES AVE, TAMPA, FL 33618-1602
(813) 767-4264
Mailing address
15624 N HIMES AVE, TAMPA, FL 33618-1602
(813) 767-4264

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4793
FL

Other

Enumeration date
11/01/2018
Last updated
11/01/2018
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