EDWIN DOUGLASS

CAPE CORAL, FL
NPI1609584515
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA19164)
Enumeration Date2022-11-09
Last Update Date2022-11-09
Business Address
EDWIN DOUGLASS COTA/L
2629 DEL PRADO BLVD S
CAPE CORAL, FL 33904-5769
Phone number: 239-574-4434
Mailing Address
EDWIN DOUGLASS COTA/L
6200 MAHAFFEY RD UNIT 106
FORT MYERS, FL 33966-1646
Phone number: 716-609-4072
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