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Tawana Campbell, COTA

Occupational Therapy Assistant in Palm Bay, FL. Individual provider (NPI-1).

NPI number1184087751
StatusActive
Last updated in NPPESMar 31, 2016

Details

NPI
1184087751
Entity type
Individual (NPI-1)
Name
Tawana Campbell
Credential
COTA
Sex
Female
Sole proprietor
No
Enumeration date
Mar 31, 2016
Last updated
Mar 31, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant10729FLYes
225X00000X Occupational TherapistOC60632347WA

Practice location

926 Black Coral Ave Nw
Palm Bay, FL 32907-9493

Phone 321-750-6809

Mailing address

926 Black Coral Ave Nw
Palm Bay, FL 32907-9493

Phone 321-750-6809

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