Individual
CHRISTANNA BLOMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15411 COUNTY ROAD 455, MONTVERDE, FL 34756-3757
(320) 304-4122
Mailing address
15411 COUNTY ROAD 455, MONTVERDE, FL 34756-3757
(320) 304-4122
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17483
FL
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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