Individual
ANGIE LISSET MENDOZA CATILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1109 SW 123RD AVE, PEMBROKE PINES, FL 33025-5770
(305) 748-3782
Mailing address
1109 SW 123RD AVE, PEMBROKE PINES, FL 33025-5770
(305) 748-3782
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15933
FL
Other
Enumeration date
05/15/2017
Last updated
07/21/2022
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