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LAURA DAVIDSON AEDER MSOT

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

Registrant NPI Number: 1386833416

Individual Registrant:
 LAURA DAVIDSON AEDER MSOT
Gender: F
Sole Proprietor

Location and contact information for practice:
12226 W UNIVERSITY AVE  NEWBERRY, FL 32669-3001 US
Tel: 352-226-8386  Fax: --

Contact information for business:
12226 W UNIVERSITY AVE  NEWBERRY, FL 32669-3001 US
Tel: 352-226-8386  Fax: --

Registration Information:
NPI: 1386833416
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
Pediatrics
FLOT12904

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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