Individual
AUDREEN WITHERSPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1000 W BROADWAY ST STE 214, OVIEDO, FL 32765-9262
(407) 359-5693
Mailing address
1000 W BROADWAY ST STE 2141000W, OVIEDO, FL 32765-9260
(407) 359-5693
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT20160
FL
Other
Enumeration date
01/20/2020
Last updated
01/06/2023
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