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Individual

MRS. ILENE RUTH POLLARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
1550 KILLINGSWORTH WAY, THE VILLAGES, FL 32162-2175
(352) 674-3500
Mailing address
8563 SW 109TH LANE RD, OCALA, FL 34481-5708
(260) 416-8249

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17719
FL

Other

Enumeration date
07/09/2021
Last updated
07/09/2021
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