Individual
VANESSA LYNN LANDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
34921 US HIGHWAY 19 N, STE 450, PALM HARBOR, FL 34684-1969
(727) 573-2747
Mailing address
560 TIBERON COVE RD, LONGWOOD, FL 32750-2951
(407) 617-6802
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12068
FL
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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