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Loretta Anne Nellis McCallister, OTL

Occupational Therapist in Sarasota, FL. Individual provider (NPI-1).

NPI number1417200775
StatusActive
Last updated in NPPESOct 23, 2012

Details

NPI
1417200775
Entity type
Individual (NPI-1)
Name
Loretta Anne Nellis McCallister
Credential
OTL
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 23, 2012
Last updated
Oct 23, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT15081FLYes

Practice location

5111 Palmer Ranch Pkwy
Sarasota, FL 34238-4477

Phone 941-926-7733

Mailing address

5111 Palmer Ranch Pkwy
Sarasota, FL 34238-4477

Phone 941-926-7733

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