Roy Arceo Damolo
Occupational Therapist, Physical Rehabilitation in Lake Placid, FL. Individual provider (NPI-1).
NPI number1861979338
StatusActive
Last updated in NPPESJul 26, 2018
Details
- NPI
- 1861979338
- Entity type
- Individual (NPI-1)
- Name
- Roy Arceo Damolo
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 26, 2018
- Last updated
- Jul 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0019X | Occupational Therapist, Physical Rehabilitation | OT15390 | FL | Yes |
Practice location
1297 Us 27 NLake Placid, FL 33852-7907
Phone 863-273-6045
Mailing address
1297 Us 27 NLake Placid, FL 33852-7907
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