Individual
EDWARD BARRETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 PARK PLACE BLVD, KISSIMMEE, FL 34741-2345
(800) 378-7597
Mailing address
201 PARK PLACE BLVD, KISSIMMEE, FL 34741-2345
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16963
FL
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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