Individual
MADISON LYNN PENHALIGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 S SUN DR, LAKE MARY, FL 32746-6119
(407) 323-6955
Mailing address
208 TEAKWOOD CT, LAKE MARY, FL 32746-3348
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
19237
FL
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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