Individual
MRS. LISA M WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
577 GLEASON ST, ORANGE CITY, FL 32763-4707
(321) 249-9443
Mailing address
577 GLEASON ST, ORANGE CITY, FL 32763-4707
(321) 249-9443
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10864
FL
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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