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Adam Regalado

Occupational Therapist in Brandon, FL. Individual provider (NPI-1).

NPI number1831973262
StatusActive
Last updated in NPPESOct 2, 2023

Details

NPI
1831973262
Entity type
Individual (NPI-1)
Name
Adam Regalado
Sex
Male
Sole proprietor
No
Enumeration date
Aug 24, 2023
Certification date
Oct 2, 2023
Last updated
Oct 2, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT24636FLYes

Practice location

560 S Lakewood Dr Ste 101
Brandon, FL 33511-5015

Phone 813-558-6044

Mailing address

560 S Lakewood Dr
Brandon, FL 33511-5015

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