Individual
ANNE PRAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4440B 26TH ST W, BRADENTON, FL 34207-1201
(941) 752-0408
(941) 870-0876
Mailing address
4755 SABAL KEY DR, BRADENTON, FL 34203-3129
(941) 752-0408
(941) 870-0876
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10349
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901333
—
FL
Enumeration date
04/12/2007
Last updated
07/09/2007
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