Individual
CISELY ANNE LUSPO HORDISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 OLD WINTER GARDEN RD APT 1623, OCOEE, FL 34761-4532
(408) 431-0997
Mailing address
3200 OLD WINTER GARDEN RD APT 1623, OCOEE, FL 34761-4532
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT14094
FL
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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