Individual
TERRY STAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 ANNIE ST, ORLANDO, FL 32806-1207
(407) 841-4371
Mailing address
2678 CORBY DR APT 1111, ORANGE CITY, FL 32763-7815
(407) 314-5342
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17162
FL
Other
Enumeration date
03/27/2021
Last updated
03/28/2021
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