Carlos R Vizcarrondo, COTA/L
Occupational Therapy Assistant in Palm Bay, FL. Individual provider (NPI-1).
NPI number1619704228
StatusActive
Last updated in NPPESSep 19, 2024
Details
- NPI
- 1619704228
- Entity type
- Individual (NPI-1)
- Name
- Carlos R Vizcarrondo
- Credential
- COTA/L
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 17, 2024
- Certification date
- Sep 19, 2024
- Last updated
- Sep 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | OTA20036 | FL | Yes |
Practice location
123 Hearthside Ave NwPalm Bay, FL 32907-6822
Phone 321-576-5068
Mailing address
123 Hearthside Ave NwPalm Bay, FL 32907-6822
Phone 321-576-5068
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All 38 Occupational Therapy Assistant providers in Palm Bay · All 1,789 providers in Palm Bay
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