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1093219297
CARISSA SIMMONS
PORT SAINT LUCIE, FL
NPI
1093219297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA16297)
Enumeration Date
2018-03-21
Last Update Date
2018-03-21
Business Address
CARISSA SIMMONS COTA/L
1483 SW BOUGAINVILLEA AVE
PORT SAINT LUCIE, FL 34953-7302
Phone number: 772-336-6928
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Mailing Address
CARISSA SIMMONS COTA/L
205 E SUGARLAND CIR
CLEWISTON, FL 33440-4214
Phone number: 863-244-9863
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