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1679037162
THERESA LYNN PADDOCK
LARGO, FL
NPI
1679037162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL 19107)
Enumeration Date
2019-01-29
Last Update Date
2019-01-29
Business Address
THERESA LYNN PADDOCK OTR/L
8254 118TH AVE N SUITE 100
LARGO, FL 33773
Phone number: 727-541-5304
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Mailing Address
THERESA LYNN PADDOCK OTR/L
5220 13TH AVENUE DR W
BRADENTON, FL 34209-4235
Phone number: 248-420-7186
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