Individual
SANDY CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
711 COCONUT RD, VENICE, FL 34293-6735
(850) 374-1112
Mailing address
711 COCONUT RD, VENICE, FL 34293-6735
(850) 374-1112
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 14736
FL
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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