Individual
MICHAEL BROOKS TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
325 WINDSOR ESTATES DR, DAVENPORT, FL 33837-9606
(863) 221-0444
Mailing address
325 WINDSOR ESTATES DR, DAVENPORT, FL 33837-9606
(863) 221-0444
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA9461
FL
Other
Enumeration date
08/14/2010
Last updated
08/14/2010
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