Individual
RACHEL LOCKE NETTLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
400 NORTH LAKE HOWARD DRIVE, WINTER HAVEN, FL 33881
(863) 268-2615
(863) 268-2615
Mailing address
1465 HACKL BLVD, BARTOW, FL 33830-5922
(863) 393-8797
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA18061
FL
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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