Individual
ALLYSON NESSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5245 N SOCRUM LOOP RD, LAKELAND, FL 33809-4253
(863) 859-1446
Mailing address
5823 LEGACY CRESCENT PL, APT 201, RIVERVIEW, FL 33578-2825
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18014
FL
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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