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Individual

MRS. LISA LEE AZAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
2415 UNIVERSITY PKWY, SUITE 218, BLDG. 2, SARASOTA, FL 34243-2809
(941) 359-9555
Mailing address
841 TAAGA PL, SARASOTA, FL 34232-1835
(941) 371-6186

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 10334
FL

Other

Enumeration date
08/04/2008
Last updated
08/04/2008
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