Individual
MS. DIANE LASSITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1359 CANDLEWYCK DR, ORLANDO, FL 32807-2969
(407) 580-1736
Mailing address
1359 CANDLEWYCK DR, ORLANDO, FL 32807-2969
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11084
FL
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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