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Organization
MATRESCENCE METHOD LLC
Active
Organization
MATRESCENCE METHOD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR LEE-WAMBOLT OTD, OTR/L (OCCUPATIONAL THERAPIST)
(479) 372-2995
Entity
Organization
Contact information
Practice address
205 CABEZA ST, SAINT AUGUSTINE, FL 32080-4524
(479) 372-2995
Mailing address
205 CABEZA ST, SAINT AUGUSTINE, FL 32080-4524
(479) 372-2995
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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