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Individual

LISA FLAVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
925 S SEMORAN BLVD, SUITE 108, WINTER PARK, FL 32792-5313
(877) 430-2772
(800) 521-9608
Mailing address
12 RUSSELL RD, ALBANY, NY 12203-2944
(845) 532-4765

Taxonomy

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

Other

Enumeration date
11/28/2011
Last updated
11/28/2011
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