Individual
ELLUVIA FRANCISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 N F ST, LAKE WORTH, FL 33460-2924
(561) 909-7603
Mailing address
620 N F ST, LAKE WORTH, FL 33460-2924
(561) 909-7603
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12792
FL
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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