Individual
CALLEY ROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1239 E NEWPORT CENTER DR STE 101, DEERFIELD BEACH, FL 33442-7711
(754) 444-3707
(754) 600-1967
Mailing address
1239 E NEWPORT CENTER DR STE 101, DEERFIELD BEACH, FL 33442-7711
(754) 444-3707
(754) 600-1967
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18688
FL
Other
Enumeration date
10/26/2017
Last updated
03/21/2019
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