EVITA GARDNER

LAKE CITY, FL
NPI1871002352
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  15960)
Enumeration Date2017-09-27
Last Update Date2017-09-27
Business Address
EVITA GARDNER COTA/L
587 SE ERMINE AVE
LAKE CITY, FL 32025-6126
Phone number: 386-752-7800
Mailing Address
EVITA GARDNER COTA/L
2531 BELMONT AVE
NEW SMYRNA, FL 32168-5806
Phone number: 386-631-4192
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