Individual
EDITH LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95 CLASSIC DR, ALTOONA, FL 32702-9241
(407) 758-3833
Mailing address
6224 ZANE DR, MOUNT DORA, FL 32757-8023
(407) 758-3833
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11652
FL
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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