Individual
ELIZABETH PERCIVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4997 ROYAL GULF CIR, FORT MYERS, FL 33966-7006
(239) 313-5049
Mailing address
4997 ROYAL GULF CIR, FORT MYERS, FL 33966-7006
(239) 313-5049
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17325
FL
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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