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Antonio Maldonado, COTA

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

NPI number1669919031
StatusActive
Last updated in NPPESJan 24, 2017

Details

NPI
1669919031
Entity type
Individual (NPI-1)
Name
Antonio Maldonado
Credential
COTA
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 24, 2017
Last updated
Jan 24, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy AssistantOTA15180FLYes

Practice location

1013 Barber St
Sebastian, FL 32958-5560

Phone 571-236-4361

Mailing address

1013 Barber St
Sebastian, FL 32958-5560

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