Individual
LISHEN ANGELIE MANEJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 A C SKINNER PKWY, JACKSONVILLE, FL 32256-0836
(904) 642-7300
Mailing address
2942 BILOXI TRL, MIDDLEBURG, FL 32068-4240
(347) 209-7571
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA18737
FL
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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