Individual
TIMOTHY TERIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA/L
Contact information
Practice address
500 S FLORIDA AVE, SUITE 415 PMB 1031, LAKELAND, FL 33801
(863) 888-0151
Mailing address
500 S FLORIDA AVE, SUITE 415 PMB 1031, LAKELAND, FL 33801
(863) 888-0151
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18906
FL
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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