Fernandez, Charisma Lyn Quiambao
Fernandez, Charisma Lyn Quiambao is an individual health care provider with primary practice located at 170 N Center St , Ormond Beach FL 32174-5186. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Fernandez, Charisma Lyn Quiambao can be contacted via phone (386) 672-7113.Contact Information
Primary practice address
170 N Center St
Ormond Beach FL 32174-5186
Phone: (386) 672-7113
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT12516 | Florida |
Profile Details
| NPI number | 1245354380 |
|---|---|
| LBN Legal business name | Fernandez, Charisma Lyn Quiambao |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245354380 | NPPES |
| Florida | Other | OTR12516 | OCCUPATIONAL THERAPIST |
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