LC VAIL

PALM COAST, FL
NPI1275775074
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA195)
Enumeration Date2009-03-25
Last Update Date2009-03-25
Business Address
-- LC VAIL COTA/L
29 LINCOLN LN
PALM COAST, FL 32137-9555
Phone number: 386-793-0612
Mailing Address
-- LC VAIL COTA/L
31 OLD KINGS RD N SUITE 1
PALM COAST, FL 32137-8257
Phone number: 386-793-0612