Individual
MR. JOHN LESTER CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2939 S HAVERHILL RD, WEST PALM BEACH, FL 33415-8118
(561) 641-3130
Mailing address
1713 E TERRACE DR, LAKE WORTH, FL 33460-6448
(561) 641-3130
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA4619
FL
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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