Individual
CHRISTI LEA DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6 SLATOR CT, PALM COAST, FL 32164-3530
(386) 237-1123
Mailing address
6 SLATOR CT, PALM COAST, FL 32164-3530
(386) 237-1123
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12487
FL
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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