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Individual

MRS. LISA MARIE PELON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
12425 RACE TRACK RD, SUITE 100, TAMPA, FL 33626-3102
(616) 566-6463
Mailing address
12425 RACE TRACK RD, SUITE 100, TAMPA, FL 33626-3102
(616) 566-6463

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201007515
MI

Other

Enumeration date
03/12/2009
Last updated
03/12/2009
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