Individual
MS. STACY GAY ST. GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7227 LAND O LAKES BOULEVARD, LAND O LAKES, FL 34638-2826
(727) 774-2602
Mailing address
7227 LAND O LAKES BLVD, LAND O LAKES, FL 34638-2826
(727) 774-2602
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 4817
FL
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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