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Individual

MYESHA LATRICE SHARPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., OTR/L

Contact information

Practice address
2245 PLANTATION CENTER DR, ORANGE PARK, FL 32003-3352
(904) 215-9046
Mailing address
103 SOLANO CAY CIR, PONTE VEDRA, FL 32082-2242
(818) 325-9122

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OTT13098
FL
225XP0200X
Pediatric Occupational Therapist
Primary
OTT13098
FL

Other

Enumeration date
04/22/2008
Last updated
04/22/2008
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