Individual
JULIE ELLEN LIESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1095 PINELLAS POINT DR S, SAINT PETERSBURG, FL 33705-6154
(727) 677-5087
Mailing address
1190 26TH AVE N, SAINT PETERSBURG, FL 33704-2630
(727) 641-0998
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14160
FL
Other
Enumeration date
08/06/2022
Last updated
08/06/2022
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