Individual
MISS KATHRYN MARIE ROSS X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11751 COLLEGE PARK TRL, ORLANDO, FL 32826-3976
(954) 993-2802
Mailing address
11751 COLLEGE PARK TRL, ORLANDO, FL 32826-3976
(954) 993-2802
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
R200513947460
FL
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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