Individual
MRS. LEANN RENEE FRIZZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
131 OBERLIN RD, VENICE, FL 34293-6529
(941) 400-9680
Mailing address
131 OBERLIN RD, VENICE, FL 34293-6529
(941) 400-9680
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA9810
FL
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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