Individual
SHARLIE ANN PELLETIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4240 LAKELAND HIGHLANDS RD, LAKELAND, FL 33813-3113
(863) 646-8699
Mailing address
1806 PADDOCK DR, PLANT CITY, FL 33566-6732
(813) 759-8685
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA9297
FL
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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