Individual
MRS. ELVIRA M CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
966 SKLAR DR W, VENICE, FL 34293-2046
(941) 493-6781
(941) 493-6781
Mailing address
966 SKLAR DR W, VENICE, FL 34293-2046
(941) 493-6781
(941) 493-6781
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 5337
FL
Other
Enumeration date
10/19/2007
Last updated
01/19/2012
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