Individual
MRS. KEISHA DAUPHIN BURRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1337 S INTERNATIONAL PKWY, LAKE MARY, FL 32746-1402
(407) 804-6333
Mailing address
1747 SUNSET PALM DR, APOPKA, FL 32712-8185
(321) 945-9974
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 10651
FL
Other
Enumeration date
03/27/2008
Last updated
11/10/2011
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