Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OTA-12567 | FL |
NPI | 1295074870 |
---|---|
Provider Name | Melissa Ellen Curran |
First Address | Brandon, FL 33510-4100 |
Second Address | Brandon, FL 33510-4100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2013 |
Last Update Date | 02/02/2013 |