Individual
DEBORAH LENNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
111 NATURE WALK PARKWAY, SUITE 101, ST AUGUSTINE, FL 32092
(904) 230-7761
(904) 230-7763
Mailing address
4480 GOLF RIDGE DR, ELKTON, FL 32033-2054
(904) 669-3623
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 9396
FL
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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