Individual
ELAINE C TESLOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
617 CANAL ST STE B&C, NEW SMYRNA, FL 32168-6901
(386) 410-6903
(386) 402-7459
Mailing address
1200 LEXINGTON GREEN LN, SANFORD, FL 32771-1013
(407) 322-3442
(407) 322-8404
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18047
FL
Other
Enumeration date
05/10/2006
Last updated
12/13/2019
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