Individual
TINA K EKLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
991 PONDELLA RD, NORTH FORT MYERS, FL 33903-3500
(239) 995-8809
Mailing address
9225 ALAN BLVD, PUNTA GORDA, FL 33982-2326
(941) 637-1036
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA3798
FL
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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