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1285988188
CHARLES PIAZZA
PORT ORANGE, FL
NPI
1285988188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 115093)
Enumeration Date
2012-10-31
Last Update Date
2012-10-31
Business Address
-- CHARLES PIAZZA
5535 S WILLIAMSON BLVD STE 774
PORT ORANGE, FL 32128-8311
Phone number: 800-330-7711
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Mailing Address
-- CHARLES PIAZZA
1300 SAINT DOMINIC
ABBEVILLE, LA 70510-2191
Phone number:
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