Individual
DIONNE LELAND GREENWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1483 SW BOUGAINVILLEA AVE, PORT SAINT LUCIE, FL 34953-7302
(772) 336-6928
Mailing address
472 SE DALVA AVE, PORT SAINT LUCIE, FL 34984-4718
(518) 466-7869
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
19497
FL
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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