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Individual

DEVAN COSSU-EDWARDS PRYOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
7010 15TH ST N, ST PETERSBURG, FL 33702-5738
(727) 200-4045
Mailing address
5377 NIGHT STAR TRL, ODESSA, FL 33556-4420
(561) 706-6603

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT19059
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT19059
FLORIDA HEALTH LICENSE
FL
Enumeration date
07/19/2018
Last updated
07/01/2021
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