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Individual

DANI SIMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
2385 FOUNTAIN RD, DELTONA, FL 32738-4073
(407) 489-9044
Mailing address
2385 FOUNTAIN RD, DELTONA, FL 32738-4073
(407) 489-9044

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
15036
FL
224Z00000X
Occupational Therapy Assistant
Primary
15036
FL
251E00000X
Home Health Agency
15036
FL

Other

Enumeration date
11/14/2016
Last updated
11/15/2016
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