Individual
CORALYMAR CASANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S BAY ST, EUSTIS, FL 32726-4005
(180) 033-0771
Mailing address
545 ONE CENTER BLVD APT 106, ALTAMONTE SPRINGS, FL 32701-2207
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12596
FL
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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