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Organization
LIFESPAN PRACTICE, LLC
Active
Organization
LIFESPAN PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEGAN NICOLE DADEZ OTD, OTR/L (DOCTOR OF OCCUPATIONAL THERAPY)
(813) 312-5716
Entity
Organization
Contact information
Practice address
37933 FLORIDA AVE, DADE CITY, FL 33525-4910
(813) 312-5716
Mailing address
37933 FLORIDA AVE, DADE CITY, FL 33525-4910
(813) 312-5716
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18332
FL
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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