Individual
MAYRA PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
202 AVENUE O NE, WINTER HAVEN, FL 33881-2499
(863) 293-3103
Mailing address
1531 REFLECTION CV, SAINT CLOUD, FL 34771-7510
(321) 443-0983
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16846
FL
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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