Individual
MRS. CHRISTA DEASE CORDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, MOT, OTR/L
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 16196
FL
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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