| NPI | 1417309196 |
|---|---|
| Doing Business As | BRENILDA MENDOZA |
| Entity Type | Organization |
| Authorized Contact | BRENILDA LUZ MENDOZA License 407-747-4288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA13972) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-06 |