Individual
TARA LITSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3855 UPPER CREEK DR, RUSKIN, FL 33573-6814
(813) 633-5989
(813) 633-6158
Mailing address
3855 UPPER CREEK DR, RUSKIN, FL 33573-6814
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 9984
FL
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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