Individual
MERCEDES OLMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 8TH AVE W, PALMETTO, FL 34221-3128
(315) 261-9883
Mailing address
1904 8TH AVE W, PALMETTO, FL 34221-3128
(315) 261-9883
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
2355S0801X
Speech-Language Assistant
—
—
Other
Enumeration date
07/31/2017
Last updated
11/19/2019
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