Individual
THALIA MERCEDES ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4450 W EAU GALLIE BLVD STE 180, MELBOURNE, FL 32934-7277
(321) 255-6627
Mailing address
544 MALABAR RD SW APT 102, PALM BAY, FL 32907-3302
(321) 423-3704
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17968
FL
Other
Enumeration date
11/06/2020
Last updated
08/06/2021
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