Individual
CARISSA WALDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8961 DANIELS CENTER DR STE 401, FORT MYERS, FL 33912-0314
(239) 433-6700
Mailing address
2820 YELLOW CREEK LOOP UNIT 203, CAPE CORAL, FL 33909-6551
(860) 305-0822
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225X00000X
Occupational Therapist
Primary
OT22176
FL
Other
Enumeration date
11/02/2017
Last updated
03/20/2023
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