Individual
JAMES RANDALL DOCKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
600 NORTH BLVD W, LEESBURG, FL 34748-5063
(352) 728-6636
(352) 787-4522
Mailing address
600 NORTH BLVD W, LEESBURG, FL 34748-5063
(352) 728-6636
(352) 787-4522
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10853
FL
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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