Individual
DACODA GARRETT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
14019 CLUBHOUSE CIR APT 1902, TAMPA, FL 33618-7513
(352) 229-3475
Mailing address
14019 CLUBHOUSE CIR APT 1902, TAMPA, FL 33618-7513
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19773
FL
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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