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Individual

TABETHA WYNN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2951 LANDOVER BLVD, SPRING HILL, FL 34608-7258
(904) 521-7583
Mailing address
6275 CASSON ST, SPRING HILL, FL 34604-8521
(904) 521-7583

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13749
FL

Other

Enumeration date
10/19/2015
Last updated
10/19/2015
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