Individual
ERIC SENATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3110 OAKBRIDGE BLVD E, LAKELAND, FL 33803-5987
(863) 940-4709
Mailing address
3110 OAKBRIDGE BLVD E, LAKELAND, FL 33803-5987
(863) 940-4709
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14148
FL
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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