Individual
CHARLES WANAMAKER LLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
7830 PINE FOREST RD, PENSACOLA, FL 32526-8404
(239) 272-0516
Mailing address
134 MENTOR DR, NAPLES, FL 34110-1328
(239) 272-0516
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
FL
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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