Individual
LAURA DAVIDSON AEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
12226 W UNIVERSITY AVE, NEWBERRY, FL 32669-3001
(352) 226-8386
Mailing address
12226 W UNIVERSITY AVE, NEWBERRY, FL 32669-3001
(352) 226-8386
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT12904
FL
Other
Enumeration date
10/15/2007
Last updated
08/25/2010
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