Individual
DIANE ANDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2102 SW 20TH PL, OCALA, FL 34471-0861
(352) 873-7247
Mailing address
1817 SE 11TH ST, OCALA, FL 34471-4192
(352) 624-0053
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 12751
FL
Other
Enumeration date
08/03/2014
Last updated
08/03/2014
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