Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT3895 | FL |
NPI | 1225551880 |
---|---|
Provider Name | Joanne Marie Zuelsdorf-Santo |
First Address | Celebration, FL 34747-4970 |
Second Address | Celebration, FL 34747-4970 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2017 |
Last Update Date | 25/07/2017 |