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1285347955
CAROL LEWIS WISE
BRANDON, FL
NPI
1285347955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: FL 19406)
Enumeration Date
2022-12-27
Last Update Date
2022-12-27
Business Address
CAROL LEWIS WISE OTR/L
1463 OAKFIELD DR STE 102
BRANDON, FL 33511-3893
Phone number: 813-655-4166
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Mailing Address
CAROL LEWIS WISE OTR/L
4577 COUNTRY MANOR DR
SARASOTA, FL 34233-1869
Phone number: 781-424-0161
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