Individual
STEPHANIE MELENDEZ PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2511 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-1653
(407) 931-3336
Mailing address
9000 BRAMBLE WAY LN, ORLANDO, FL 32825-3750
(407) 435-4374
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15730
FL
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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