Individual
DOMINQUE L GARLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
606 S 9TH ST, LEESBURG, FL 34748-6320
(352) 630-1358
Mailing address
1641 MYRTLE LAKE AVE, FRUITLAND PARK, FL 34731-6568
(352) 630-1358
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16857
FL
Other
Enumeration date
07/07/2019
Last updated
07/07/2019
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