Individual
LISA C MILLWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7380 W SAND LAKE RD, ORLANDO, FL 32819-5248
(407) 905-9300
Mailing address
1728 OVERLAKE AVE, ORLANDO, FL 32806-7132
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12576
FL
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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