Individual
MRS. JUNE MARIA MANDERICHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
HOME SWEET HOME, 11246 SW OLMSTEAD DRIVE, PORT ST LUCIE, FL 34987
(732) 221-4109
Mailing address
2244 SW MOUNT VERNON ST, PORT ST LUCIE, FL 34953-2358
(732) 221-4109
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18394
FL
Other
Enumeration date
12/05/2010
Last updated
08/22/2021
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