Individual
ANGIE IVELISSE REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
595 W CHURCH ST APT 821, ORLANDO, FL 32805-2299
(407) 683-0510
Mailing address
595 W CHURCH ST APT 821, ORLANDO, FL 32805-2299
(407) 683-0510
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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