Individual
LEONARDO TARULLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
626 N TYNDALL PKWY, CALLAWAY, FL 32404-6132
(850) 871-6363
Mailing address
626 N TYNDALL PKWY, CALLAWAY, FL 32404-6132
(850) 871-6363
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 15507
FL
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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