Individual
LAILA WAHID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
70 LINDSEY LN, SAINT MARYS, GA 31558-1635
(912) 510-6104
(912) 882-6137
Mailing address
11770 LANIER CREEK DR, JACKSONVILLE, FL 32258-1262
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT19208
FL
Other
Enumeration date
05/29/2018
Last updated
05/09/2019
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