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Individual

QURNISHA PRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3865 TAMPA RD, OLDSMAR, FL 34677
(813) 558-6588
Mailing address
648 BACON ST, COCOA, FL 32926
(813) 638-1631

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT12452
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT12452
NBCOT
FL
Enumeration date
06/22/2017
Last updated
06/22/2017
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