Individual
MISS MARILEE LINDA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5131 RICHMOND TER, NORTH PORT, FL 34287-2327
(941) 916-4430
Mailing address
5131 RICHMOND TER, NORTH PORT, FL 34287-2327
(941) 916-4430
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11007
FL
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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