Individual
BARBARA LOUANNE PERREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
4044 W LAKE MARY BLVD, 104-245, LAKE MARY, FL 32746-2012
(800) 226-9917
(800) 224-6215
Mailing address
112 MAGNOLIA LN, HAINES CITY, FL 33844-9277
(978) 771-9458
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 11667
FL
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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