JAMES RANDALL DOCKHAM

LEESBURG, FL
NPI1871733717
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA10853)
Enumeration Date2009-03-05
Last Update Date2009-03-05
Business Address
-- JAMES RANDALL DOCKHAM COTA
600 NORTH BLVD W
LEESBURG, FL 34748-5063
Phone number: 352-728-6636
Mailing Address
-- JAMES RANDALL DOCKHAM COTA
600 NORTH BLVD W
LEESBURG, FL 34748-5063
Phone number: 352-728-6636
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