Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT11106 | FL |
NPI | 1003180886 |
---|---|
Provider Name | Daniel Linares |
First Address | Orlando, FL 32803-5200 |
Second Address | Orlando, FL 32803-5200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2012 |
Last Update Date | 27/02/2012 |