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Individual

MS. THERESA MARIE DEVRIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS OTRL

Contact information

Practice address
1661 SE 31ST ST, OCALA, FL 34471-0741
(352) 619-0790
Mailing address
1661 SE 31ST ST, OCALA, FL 34471-0741
(352) 619-0790

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT13713
FL
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
04748
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT13713
LICENSE
FL
Enumeration date
05/06/2007
Last updated
01/15/2020
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