Individual
CAROLINA PONTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4117 BOUGAINVILLA DR APT 315, LAUDERDALE BY THE SEA, FL 33308-5417
(201) 889-2272
Mailing address
4117 BOUGAINVILLA DR APT 315, LAUDERDALE BY THE SEA, FL 33308-5417
(201) 889-2272
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16306
FL
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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