CRISTHIAN E MOGOLLON

MIAMI, FL
NPI1225571359
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  14121)
Enumeration Date2016-11-21
Last Update Date2016-11-21
Business Address
-- CRISTHIAN E MOGOLLON OTA
13590 SW 134TH AVE STE 107
MIAMI, FL 33186-4575
Phone number: 786-732-6646
Mailing Address
-- CRISTHIAN E MOGOLLON OTA
13590 SW 134TH AVE STE 107
MIAMI, FL 33186-4575
Phone number: 786-732-6646