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1801135710
BARBARA L MAIN
LAKELAND, FL
NPI
1801135710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA 123)
Enumeration Date
2013-02-12
Last Update Date
2013-02-12
Business Address
Ms. BARBARA L MAIN
2020 W LAKE PARKER DR
LAKELAND, FL 33805-5005
Phone number: 863-682-7580
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Mailing Address
Ms. BARBARA L MAIN
5811 SWALLOW DR
LAKELAND, FL 33809-7632
Phone number: 863-853-1045
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