DEREK MONG

HOMOSASSA, FL
NPI1326528506
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  213725)
Enumeration Date2018-08-17
Last Update Date2018-08-17
Business Address
DEREK MONG
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 352-382-1141
Mailing Address
DEREK MONG
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 352-382-1141
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