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Ingrid Josefina Constanzo Mobley

Developmental Therapist in Kissimmee, FL. Individual provider (NPI-1).

NPI number1346606142
StatusActive
Last updated in NPPESMar 3, 2025

Details

NPI
1346606142
Entity type
Individual (NPI-1)
Name
Ingrid Josefina Constanzo Mobley
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 8, 2016
Certification date
Mar 3, 2025
Last updated
Mar 3, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist–FLYes

Practice location

1200 N Central Ave Ste 110
Kissimmee, FL 34741-4439

Phone 407-530-5063 · Fax 877-399-5578

Mailing address

47 Rosewood Trl
Deland, FL 32724-1358

Phone 321-217-6010 · Fax 877-399-5578

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Developmental Therapist providers in Kissimmee, FL

All 50 Developmental Therapist providers in Kissimmee · All 7,630 providers in Kissimmee

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