Individual
ANGELICA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
606 S 9TH ST, LEESBURG, FL 34748-6320
(352) 805-4404
Mailing address
2604 WESTERN WAY, LEESBURG, FL 34748-5439
(352) 255-0863
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19432
FL
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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