Individual
MARISA ELIZABETH PALACIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14014 N CYPRESS COVE CIR, DAVIE, FL 33325-6748
(954) 850-0664
Mailing address
14014 N CYPRESS COVE CIR, DAVIE, FL 33325-6748
(954) 850-0664
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
19798
FL
Other
Enumeration date
03/06/2024
Last updated
03/09/2024
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