Individual
ANGIE CAPELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 EMERSON DR NE, PALM BAY, FL 32907-3219
(646) 525-1143
Mailing address
1411 EMERSON DR NE, PALM BAY, FL 32907-3219
(646) 525-1143
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16912
FL
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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