PUTTENTIAL, INC
Restorative Service Providers at Dillard St, Winter Garden, FL

License number
Florida OT12762
Category
Restorative Service Providers
Type
Pediatrics
Owner
Name: CHARITY HIGGINS OTR/L
Title: OCCUPATIONAL THERAPIST/OWNER
Phone: (954) 594-2822
Address
Address 2
214 S Dillard St, Winter Garden, FL 34787
1301 Stevens Ave, Orlando, FL 32806
National Provider ID: 1922352038
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PUTTENTIAL, INC

Winter Garden, FL  -  Orlando, FL

Industry:
Business Services at Non-Commercial Site
Registration:
Mar 31, 2009
Addresses:
214 S Dillard St, Winter Garden, FL 34787 (Physical)
1301 Stevens Ave, Orlando, FL 32806 (Mailing)
State ID:
P09000029219
Business type:
Florida Profit Corporation
President, Vice Presidents:
Charity Higgins (President), 1301 Stevens Ave, Orlando, FL 32806 (Physical),Thomas Higgins President, Vice President, inactive
Agent:
Higgins, Charity,1301 Stevens Ave, Orlando, FL 32806 (Physical)
EIN:
26-4515043

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