Fanny Peralta Carrizosa

NPI #1710233028 in Brandon, Florida

Provider Information

NPI Number
1710233028
Entity Type
Individual
Name
Fanny Peralta Carrizosa
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Developmental Therapist
Enumeration Date
Jul 24, 2012
Last Updated
Jul 24, 2012

Practice Location

Address
708 PEARL CIR
State
Florida
ZIP Code
33510-4246
Phone
(813) 409-0435

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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