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Individual

EMILY ANN LUCIUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2653 BRUCE B DOWNS BLVD STE 201, WESLEY CHAPEL, FL 33544-9206
(813) 978-9700
(813) 558-6185
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0915
(813) 978-9700
(813) 558-6185

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
225XH1200X
Hand Occupational Therapist
Primary
1071100205
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT10286
STATE OF FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
08/20/2006
Last updated
07/13/2023
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