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Individual

CARRIE REBECCA LENZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
3660 E BAY DR, APT 423, LARGO, FL 33771-1969
(727) 643-1645
Mailing address
3660 E BAY DR, APT 423, LARGO, FL 33771-1969
(727) 643-1645

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 9481
FL

Other

Enumeration date
05/10/2007
Last updated
07/08/2007
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