Individual
ATHENA ONORATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1167 RAYWOOD ST SE, PALM BAY, FL 32909-6090
(321) 726-8512
Mailing address
1167 RAYWOOD ST SE, PALM BAY, FL 32909-6090
(321) 726-8512
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OTA11095
FL
Other
Enumeration date
02/07/2015
Last updated
02/07/2015
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