Individual
MRS. JIMMIE LYNETTE DEVAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
5751 WESTVIEW DR, ORLANDO, FL 32810-3940
(407) 517-0740
Mailing address
5751 WESTVIEW DR, ORLANDO, FL 32810-3940
(407) 517-0740
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10754
FL
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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