Individual provider · Type 1 NPI
Marco Klovanish, COTA
Student in an Organized Health Care Education/Training Program · Lady Lake, FL
NPI number
1861818882
Active
Practice location
824 Highway 466, Unit 3106
Lady Lake, FL 32159-4252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | OTA1124 (FL) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1861818882
Marco Klovanish, COTA's National Provider Identifier is 1861818882, issued on Mar 14, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lady Lake, FL. The record was last updated on Mar 14, 2014.