KEN PROSPER

HOMOSASSA, FL
NPI1952881880
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  213139)
Enumeration Date2018-08-20
Last Update Date2018-08-20
Business Address
KEN PROSPER
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 352-382-1141
Mailing Address
KEN PROSPER
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 352-382-1141