Individual
CARLEY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
606 S 9TH ST, LEESBURG, FL 34748-6320
(321) 946-7728
Mailing address
606 S 9TH ST, LEESBURG, FL 34748-6320
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10697607
FL
224Z00000X
Occupational Therapy Assistant
OTA18727
FL
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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