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Carol Mittelstadt

Occupational Therapy Assistant in Winter Park, FL. Individual provider (NPI-1).

NPI number1386900751
StatusActive
Last updated in NPPESApr 10, 2012

Details

NPI
1386900751
Entity type
Individual (NPI-1)
Name
Carol Mittelstadt
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 10, 2012
Last updated
Apr 10, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy AssistantOTA9281FLYes

Practice location

925 S Semoran Blvd
Suite 108
Winter Park, FL 32792-5313

Phone 877-430-2772

Mailing address

925 S Semoran Blvd
Suite 108
Winter Park, FL 32792-5313

Phone 877-430-2772

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