Individual
CECELIA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6023 30TH AVE W, BRADENTON, FL 34209-6904
(419) 708-3130
Mailing address
6023 30TH AVE W, BRADENTON, FL 34209-6904
(419) 708-3130
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17459
FL
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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