Individual
DOUGLAS CONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 THORNBERRY BRANCH LN, DAYTONA BEACH, FL 32124-3652
(386) 872-4892
(386) 256-2320
Mailing address
201 THORNBERRY BRANCH LN, DAYTONA BEACH, FL 32124-3652
(386) 872-4892
(386) 256-2320
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16447
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT-6447
LICENCE
FL
Enumeration date
10/03/2018
Last updated
10/03/2018
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