Organization
LISA M. DEGENNARO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MARIE DEGENNARO COTA (OCCUPATIONAL THERAPIST ASSISTANT)
(727) 946-3395
Entity
Organization
Contact information
Practice address
4434 NORTHAMPTON DR, NEW PORT RICHEY, FL 34653-6311
(727) 946-3395
Mailing address
4434 NORTHAMPTON DR, NEW PORT RICHEY, FL 34653-6311
(727) 946-3395
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11725
FL
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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