Individual
IDA REBECCA MEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4725 BELLWETHER LN, OXFORD, FL 34484-2980
(352) 430-0076
Mailing address
33 JUNIPER PASS TRL, OCALA, FL 34480-8230
(352) 438-9055
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13323
FL
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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