KIMMICHAEL BOLOGNINI

MELBOURNE, FL
NPI1871108340
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  16941)
Enumeration Date2020-09-11
Last Update Date2020-09-11
Business Address
Mr. KIMMICHAEL BOLOGNINI COTA/L
2793 KINGSMILL AVE
MELBOURNE, FL 32934-7582
Phone number: 321-626-3699
Mailing Address
Mr. KIMMICHAEL BOLOGNINI COTA/L
2793 KINGSMILL AVE
MELBOURNE, FL 32934-7582
Phone number: 321-626-3699
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