ELAINE MARIE DIESING

LECANTO, FL
NPI1477005080
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA-8825)
Enumeration Date2016-10-30
Last Update Date2016-10-30
Business Address
Mrs. ELAINE MARIE DIESING COTA/L
2333 N BRENTWOOD CIR
LECANTO, FL 34461-8536
Phone number: 352-746-6000
Mailing Address
Mrs. ELAINE MARIE DIESING COTA/L
5181 N EL PASO TER
BEVERLY HILLS, FL 34465-2704
Phone number: 352-746-9539
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