Individual
MISS CHANTELLE LATANYA REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
901 CLARK ST, OVIEDO, FL 32765-7378
(407) 359-5693
(407) 792-5693
Mailing address
108 WASHINGTON AVE, ORLANDO, FL 32810-6419
(407) 340-1072
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18738
FL
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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