Individual
LENSSA AGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5333 VINELAND RD, ORLANDO, FL 32811-7648
(678) 653-6772
Mailing address
5333 VINELAND RD, ORLANDO, FL 32811-7648
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 009168
OH
225X00000X
Occupational Therapist
Primary
OT 10934
FL
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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