Individual
AUGUST MEZZIO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
1902 59TH ST W, BRADENTON, FL 34209-4602
(941) 761-1000
Mailing address
2086 MARATTA RD, ALIQUIPPA, PA 15001-4143
(412) 605-7848
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21057
FL
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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