Individual
MARISABEL CARRASQUILLO ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 TURKEY LAKE RD STE 114, ORLANDO, FL 32819-4205
(321) 732-3723
(321) 352-7168
Mailing address
6000 TURKEY LAKE RD STE 114, ORLANDO, FL 32819-4205
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19488
FL
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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