Individual
MRS. VICKY LYNN STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5211 SW 91ST TER STE B, GAINESVILLE, FL 32608-9100
(352) 682-3461
Mailing address
5211 SW 91ST TER STE B, GAINESVILLE, FL 32608-9100
(352) 682-3461
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OTA11501
FL
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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