PHUONG LE

JACKSONVILLE, FL
NPI1578043345
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA14648)
Enumeration Date2018-08-20
Last Update Date2018-08-20
Business Address
PHUONG LE COTA/L
2802 PARENTAL HOME RD
JACKSONVILLE, FL 32216-5702
Phone number: 904-476-2994
Mailing Address
PHUONG LE COTA/L
12001 ABESS BLVD APT 4211
JACKSONVILLE, FL 32225-6017
Phone number: 904-476-2994
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