Individual
MS. ALYSIA S REPPETO-EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2330 CREEK SIDE DR, LAKELAND, FL 33811-1438
(863) 701-5546
Mailing address
2330 CREEK SIDE DR, LAKELAND, FL 33811-1438
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 10171
FL
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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