Individual
DAVID LERSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5535 S WILLIAMSON BLVD, SUITE 774, PORT ORANGE, FL 32128-8311
(800) 330-7711
Mailing address
3928 ARIZONA ST, SAN DIEGO, CA 92104-2866
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA2544
CA
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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