Individual
BETTI LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 VODERBURG DRIVE, 201, BRANDON, FL 34511
(813) 653-1149
Mailing address
602 VODERBURG DRIVE, 201, BRANDON, FL 34511
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 9398
FL
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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