Individual
LEIGH KRISTIN WIXTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5433 W STATE ROAD 46, SANFORD, FL 32771-9236
(407) 322-2207
Mailing address
111 W HIGHBANKS RD, DEBARY, FL 32713-2844
(386) 228-7199
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19160
FL
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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