Individual
ANGELA CAYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
210 BURGOYNE LOOP, DAVENPORT, FL 33897-8002
(407) 803-2730
Mailing address
210 BURGOYNE LP, DAVENPORT, FL 33897
(407) 803-2730
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OTA13742
FL
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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