Individual
MS. MAYDJINE ANGELIQUE LOUIS-CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
207 SUNTAN AVE, SARASOTA, FL 34237-6216
(754) 234-1503
Mailing address
207 SUNTAN AVE, SARASOTA, FL 34237-6216
(754) 234-1503
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18054
FL
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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