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1770110835
KIMBERLY DETRIO
ORLANDO, FL
NPI
1770110835
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA10512)
Enumeration Date
2020-03-26
Last Update Date
2020-03-26
Business Address
KIMBERLY DETRIO COTA/L
5125 ADANSON ST
ORLANDO, FL 32804-1354
Phone number: 352-394-0212
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Mailing Address
KIMBERLY DETRIO COTA/L
PO BOX 120547
CLERMONT, FL 34712-0547
Phone number: 352-394-0212
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