Individual
MR. CHRISTIAN SCOTT CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOTRL
Contact information
Practice address
8347 121ST AVE, LARGO, FL 33773-2802
(727) 251-7782
Mailing address
8347 121ST AVE, LARGO, FL 33773-2802
(727) 251-7782
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 10920
FL
Other
Enumeration date
04/14/2007
Last updated
07/08/2007
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