Individual
MISS LANDRIE LANE CONNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1000 W BROADWAY ST, STE #214, OVIEDO, FL 32765-9260
(407) 376-3537
Mailing address
5409 HANSEL AVE APT K2, ORLANDO, FL 32809-3485
(407) 376-3537
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13372
FL
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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