Individual
DINA DIMITRELOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12545 ORANGE DR # DRIVE502, DAVIE, FL 33330-4306
(954) 474-8048
Mailing address
8865 LAKE PARK CIR S, DAVIE, FL 33328-7013
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12591
FL
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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