Individual
ELENA CONVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 6TH AVE S, SAINT PETERSBURG, FL 33701-4634
(727) 767-8440
Mailing address
501 6TH AVE S, SAINT PETERSBURG, FL 33701-4634
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT15664
FL
Other
Enumeration date
08/06/2013
Last updated
09/20/2013
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