Individual
MRS. JANICE LOUISE WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
301 S WEST CROWN POINT RD STE 150, WINTER GARDEN, FL 34787-2917
(407) 905-8908
(407) 905-8958
Mailing address
4814 WINGROVE BLVD, ORLANDO, FL 32819-3346
(407) 298-0684
(407) 905-8958
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-499
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
812290300
—
FL
05
—
884790800
—
FL
Enumeration date
05/19/2006
Last updated
05/20/2024
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