Individual
MRS. IZETTE VAN DER MERWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
78 PIMLICO DR, CRAWFORDVILLE, FL 32327-2499
(850) 510-8391
Mailing address
78 PIMLICO DR, CRAWFORDVILLE, FL 32327-2499
(850) 510-8391
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT12934
FL
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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