Individual
ARIELLA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2760 DORA AVE, TAVARES, FL 32778-4970
(352) 742-7837
(352) 508-5113
Mailing address
2760 DORA AVE, TAVARES, FL 32778-4970
(352) 742-7837
(352) 508-5113
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
225400000X
Rehabilitation Practitioner
OTA14100
FL
Other
Enumeration date
07/13/2020
Last updated
07/29/2020
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