Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT4465 | FL |
NPI | 1053512020 |
---|---|
Provider Name | Mrs. Anabelle Fontanet Escribano |
First Address | Apopka, FL 32712 |
Second Address | Apopka, FL 32712-6055 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 28/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1053512020 | (05) | FL |