Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | OT 6454 | FL |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT 6454 | FL |
NPI | 1174830095 |
---|---|
Provider Name | Dany Blanchet |
First Address | Orlando, FL 32814-6716 |
Second Address | Winter Park, FL 32789-1749 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2010 |
Last Update Date | 13/09/2010 |