Individual
LIAM PRUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 PARK CENTER DR FL 2302, ORLANDO, FL 32835-6235
(321) 445-1287
Mailing address
4276 GUMBO LIMBO DR, ORLANDO, FL 32822-3118
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19916
FL
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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