Most Relevant Information
Provider Data
| NPI Number: | 1003680802 |
| Provider Name: | CORINE GRACE UMALI |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OT12932 |
Most Important Dates
| Enumeration Date: | 11/13/2023 |
| Last Updated: | 11/13/2023 |
Provider Practice Location
11401 OLD SAINT AUGUSTINE RD # 32258
JACKSONVILLE
FL
322581402
Practice Location Phone/Fax
| Phone: | 9042601818 |
| Fax: |
Provider Mailing Location
93 RICHMOND DR
SAINT JOHNS
FL
322598026
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |