Individual
ABIGAIL RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
520 S FLORIDA AVE, LAKELAND, FL 33801-5229
(863) 268-2608
Mailing address
520 S FLORIDA AVE, LAKELAND, FL 33801-5229
(863) 268-2608
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17578
FL
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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