Individual
ANGELOVE MARIANO MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
410 10TH AVE W, PALMETTO, FL 34221-5032
(941) 722-3582
(941) 729-8322
Mailing address
4440 IRONWOOD CIR APT 507D, BRADENTON, FL 34209-6873
(941) 713-5142
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT7773
FL
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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