Individual
LISA J VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2780 E FOWLER AVE, SUITE 405, TAMPA, FL 33612-6297
(813) 310-2105
(813) 703-6280
Mailing address
PO BOX 4249, BRANDON, FL 33509-4249
(813) 310-2105
(813) 703-6280
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA6981
FL
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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