Individual
LADIA REASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 AVENUE O NE, WINTER HAVEN, FL 33881-2409
(863) 293-3103
Mailing address
1791 FALCONCREST ST, TALLAHASSEE, FL 32303-3334
(813) 397-7275
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT24506
FL
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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