Individual
MS. CALLIE JEANNINE WOODRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1103 CEDAR STREET, LEESBURG, FL 34748-6320
(910) 249-0460
Mailing address
1103 CEDAR ST, LEESBURG, FL 34748-4010
(910) 249-0460
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12488
FL
Other
Enumeration date
03/11/2013
Last updated
03/28/2017
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