Individual
ANGELO ALAN BALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2260 NW 72ND WAY, PEMBROKE PINES, FL 33024-1047
(954) 257-0605
Mailing address
2260 NW 72ND WAY, PEMBROKE PINES, FL 33024-1047
(954) 257-0605
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 14047
FL
Other
Enumeration date
04/13/2015
Last updated
04/24/2015
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