Provider Demographics
NPI:1851966519
Name:EXPOSITO, DAMARIS (CTRS)
Entity Type:Individual
Prefix:MISS
First Name:DAMARIS
Middle Name:
Last Name:EXPOSITO
Suffix:
Gender:F
Credentials:CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8935 OKEECHOBEE BLVD APT 204
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-5129
Mailing Address - Country:US
Mailing Address - Phone:561-951-2073
Mailing Address - Fax:
Practice Address - Street 1:7305 N MILITARY TRL # 11K
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-7417
Practice Address - Country:US
Practice Address - Phone:561-951-2073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-25
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist