Individual
JEANIE SHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
9850 FAIRWAY CIR, LEESBURG, FL 34788-3626
(863) 582-2590
Mailing address
9850 FAIRWAY CIR, LEESBURG, FL 34788-3626
(863) 582-2590
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15779
FL
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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