Individual
MRS. MERINA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1159 AUSTRALIA AVE., DAYTONA BEACH, FL 32114
(386) 255-5890
Mailing address
1159 AUSTRALIA AVE., DAYTONA BEACH, FL 32114
(386) 255-5890
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
9369
FL
Other
Enumeration date
03/06/2018
Last updated
07/21/2022
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