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1700920733
STACEY COTSENMOYER LEE COTSENMOYER
LEESBURG, FL
NPI
1700920733
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Former Name
STACEY LEE ALLISON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA12538)
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
-- STACEY COTSENMOYER LEE COTSENMOYER PTA
600 NORTH BLVD. WEST LAKE CENTRE FOR REHABILITATION
LEESBURG, FL 34748
Phone number: 352-728-6636
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Mailing Address
-- STACEY COTSENMOYER LEE COTSENMOYER PTA
11 LIVE OAK AVE
YALAHA, FL 34797-3031
Phone number:
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