Individual
MICHELLE KRAFT MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2530 RIDGETOP WAY, VALRICO, FL 33594-4223
(813) 684-9985
Mailing address
5340 W KENNEDY BLVD UNIT 538, TAMPA, FL 33609-2446
(603) 264-7422
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16183
FL
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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