Individual
CABILIE THEODORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 E BELLA VISTA ST, LAKELAND, FL 33805-3008
(863) 688-8591
Mailing address
4040 NW 19TH ST APT 204, LAUDERHILL, FL 33313-7060
(954) 548-6593
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16923
FL
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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