Individual
STEPHANIE CASANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1203 FLORIDA AVE, SAINT CLOUD, FL 34769-3721
(321) 837-9737
Mailing address
1203 FLORIDA AVE, SAINT CLOUD, FL 34769-3721
(321) 837-9737
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT18868
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
10/31/2022
Last updated
10/31/2022
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