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Individual

ALYSSA LEAF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
901 CLARK ST, OVIEDO, FL 32765-7378
(407) 359-5693
(407) 792-5693
Mailing address
1263 MARINA PT APT 311, CASSELBERRY, FL 32707-6478
(407) 234-8662

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17555
FL

Other

Enumeration date
07/08/2021
Last updated
07/12/2021
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