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Contact Information

CONNIE MUDARRA, OTR
7355 AZALEA COVE CIR
ORLANDO, FL32807
 Phone: 407-595-0874
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CONNIE MUDARRA · (Female)

NPI Number 1144239377
Status Active
Credentials OTR (Registered Occupational Therapist)
Entity Individual
Enumeration date 08/05/2006
Last updated 05/31/2018 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OT1246
  • FL Other OT1246 OT LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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