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Individual

LEA ANN BUFFENBARGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
61 ARDLUSSA ST, UMATILLA, FL 32784-7604
(352) 636-8188
Mailing address
61 ARDLUSSA ST, UMATILLA, FL 32784-7604
(352) 636-8188

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT7683
FL

Other

Enumeration date
11/01/2006
Last updated
07/27/2010
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