Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT0005702 | FL |
NPI | 1285693523 |
---|---|
Provider Name | Miss Sandra Zanetti |
First Address | Sebastian, FL 32958 |
Second Address | Melbourne, FL 32901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 08/07/2007 |