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Individual

DEBORAH ANNICE MCINNIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
1211 N WEST SHORE BLVD, TAMPA, FL 33607-4600
(180) 063-2219
Mailing address
11830 ROSALINDA COURT, FT. MYERS, FL 33912
(864) 650-2653

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11666
FL

Other

Enumeration date
05/22/2007
Last updated
07/08/2007
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