Individual
MS. ADRIAN LEIGH PATASCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
217 BOSTON AVE, ALTAMONTE SPRINGS, FL 32701-4700
(407) 260-0817
Mailing address
15 HILLSIDE AVE, ORLANDO, FL 32803-6268
(407) 491-0876
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ3989
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SZ3989
FL STATE PROVISIONAL LICE
FL
Enumeration date
03/26/2007
Last updated
07/08/2007
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