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1316521966
LEVI LANGDALE
WINTER PARK, FL
NPI
1316521966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL 15055)
Enumeration Date
2021-05-10
Last Update Date
2021-05-10
Business Address
LEVI LANGDALE COTA
558 N SEMORAN BLVD
WINTER PARK, FL 32792-2840
Phone number: 407-679-1515
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Mailing Address
LEVI LANGDALE COTA
532 LAFAYETTE ST
PORT ORANGE, FL 32127-4416
Phone number:
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