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Individual

MR. GARRY R MACDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTRL

Contact information

Practice address
1705 E HIGHWAY 50 STE 1, CLERMONT, FL 34711-5186
(352) 404-4523
(352) 243-8367
Mailing address
PO BOX 648, MINNEOLA, FL 34755-0648
(352) 404-4523
(352) 243-8367

Taxonomy

Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
OT10697
FL

Other

Enumeration date
06/15/2006
Last updated
07/08/2007
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