Individual
MS. BARBARA L MAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 W LAKE PARKER DR, LAKELAND, FL 33805-5005
(863) 682-7580
Mailing address
5811 SWALLOW DR, LAKELAND, FL 33809-7632
(863) 853-1045
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 123
FL
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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