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Individual

MISS DONNA L CANTWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
2730 ATHENS DR, LEESBURG, FL 34748-7335
(352) 460-8427
Mailing address
2730 ATHENS DR, LEESBURG, FL 34748-7335
(352) 460-8427

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10047
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
224Z
FL
Enumeration date
09/18/2019
Last updated
09/18/2019
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