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Individual

MARIE MATUTE-REYES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10964 BAYSHORE DR, WINDERMERE, FL 34786-7802
(914) 494-8394
Mailing address
10964 BAYSHORE DR, WINDERMERE, FL 34786-7802
(914) 494-8394

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
FL
222Q00000X
Developmental Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106706100
FL
Enumeration date
01/10/2013
Last updated
08/14/2020
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