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Individual

MRS. STEPHANIE SUSAN LYON PRICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1309 E 29TH AVE, TAMPA, FL 33605-1041
(813) 294-6935
Mailing address
38250 A AVE, ZEPHYRHILLS, FL 33542
(813) 364-5554

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA3989
FL

Other

Enumeration date
09/27/2017
Last updated
09/27/2017
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