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ANITA LYNN ABDULLAH OTR

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1023013414

Individual Registrant:
 ANITA LYNN ABDULLAH OTR
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1577 ROBERTS DR SUITE 320 JACKSONVILLE BEACH, FL 32250-3264 US
Tel: 904-247-3324  Fax: 904-858-6489

Contact information for business:
1325 SAN MARCO BLVD SUITE 200 JACKSONVILLE, FL 32207-8568 US
Tel: 904-346-3465  Fax: 904-858-6489

Registration Information:
NPI: 1023013414
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
FLOT753

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
RR MEDICAREP00326423FL01




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