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Individual

VIVIAN MARGARETH HENNINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
5939 BUCK RUN DR, LAKELAND, FL 33811-2076
(305) 498-9264
Mailing address
5939 BUCK RUN DR, LAKELAND, FL 33811-2076

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13389
FL

Other

Enumeration date
09/01/2022
Last updated
09/01/2022
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