NEEDJE BEVERLY TAMBUNGA

FORT MYERS, FL
NPI1295301554
Former NameNEEDJE BEVERLY RAPHAEL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  17105)
Enumeration Date2021-05-27
Last Update Date2021-05-27
Business Address
NEEDJE BEVERLY TAMBUNGA COTA
15101 SHELL POINT BLVD
FORT MYERS, FL 33908-1694
Phone number: 239-466-1131
Mailing Address
NEEDJE BEVERLY TAMBUNGA COTA
2600 COMPASS RD
GLENVIEW, IL 60026-8001
Phone number: