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CORALYMAR CASANOVA

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1982827275

Individual Registrant:
 CORALYMAR  CASANOVA 
Gender: F
Sole Proprietor

Location and contact information for practice:
301 S BAY ST  EUSTIS, FL 32726-4005 US
Tel: 180-033-0771  Fax: --

Contact information for business:
545 ONE CENTER BLVD APT 106  ALTAMONTE SPRINGS, FL 32701-2207 US
Tel: --  Fax: --

Registration Information:
NPI: 1982827275
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
FL12596

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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