Individual
MANOLITHA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 W LAKE PARKER DR, LAKELAND, FL 33805-5005
(863) 682-7580
Mailing address
1023 S HIAWASSEE RD APT 4013, ORLANDO, FL 32835-1894
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 14002
FL
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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