Individual
CASEY DAMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
4015 CRESCENT PARK DR, RIVERVIEW, FL 33578-3605
(813) 492-8310
Mailing address
4015 CRESCENT PARK DR, RIVERVIEW, FL 33578-3605
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI5682
FL
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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