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1013024686
LIDU IVETTE POTTER
PALM HARBOR, FL
NPI
1013024686
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: FL OT10194)
Enumeration Date
2006-08-23
Last Update Date
2017-08-09
Business Address
-- LIDU IVETTE POTTER OT
971 VIRGINIA AVE SUITE A
PALM HARBOR, FL 34683-5235
Phone number: 727-773-2687
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Mailing Address
-- LIDU IVETTE POTTER OT
2150 ALT 19 STE A
PALM, FL 34683-5363
Phone number: 727-773-2687
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