EDWARD AYANIS PENA

KISSIMMEE, FL
NPI1942746813
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA15701)
Enumeration Date2017-01-16
Last Update Date2019-08-19
Business Address
EDWARD AYANIS PENA COTA
1252 S JOHN YOUNG PKWY
KISSIMMEE, FL 34741-6319
Phone number: 407-913-1010
Mailing Address
EDWARD AYANIS PENA COTA
3216 RESERVE CT
ORLANDO, FL 32825-7180
Phone number: 407-300-0799
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