Individual
JANICE RACHEL BONGCAYAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1522 WINTER GREEN BLVD, WINTER PARK, FL 32792-2242
(530) 781-3127
Mailing address
1522 WINTER GREEN BLVD, WINTER PARK, FL 32792-2242
(530) 781-3127
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18323
FL
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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