Individual
DORA MARLENE SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14174 BLACKBERRY DR, WELLINGTON, FL 33414-8235
(305) 481-5359
Mailing address
14174 BLACKBERRY DR, WELLINGTON, FL 33414-8235
(305) 481-5359
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2437
FL
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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