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LAURA DAVIDSON AEDER MSOT
Pediatrics >> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1386833416
Individual Registrant: LAURA DAVIDSON AEDER MSOT
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
12226 W UNIVERSITY AVE NEWBERRY, FL 32669-3001 US
Tel: 352-226-8386 Fax: --
Tel: 352-226-8386 Fax: --
Contact information for business:
12226 W UNIVERSITY AVE NEWBERRY, FL 32669-3001 US
Tel: 352-226-8386 Fax: --
Tel: 352-226-8386 Fax: --
Registration Information:
NPI: 1386833416
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist Pediatrics | FL | OT12904 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
