Individual
MRS. TASHA LOUISE MCLEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
535 CROCKETT BLVD, MERRITT ISLAND, FL 32953-5018
(321) 454-2363
Mailing address
701 CYPRESS AVE, SAINT CLOUD, FL 34769-2473
(407) 552-9994
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12343
FL
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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