Lynette Fodor

NPI #1811153026 in Starke, Florida

Provider Information

NPI Number
1811153026
Entity Type
Individual
Name
Lynette Fodor
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Enumeration Date
Aug 6, 2008
Last Updated
Aug 6, 2008

Practice Location

Address
417 W CALL ST
City
Starke
State
Florida
ZIP Code
32091-3115
Phone
(904) 964-4464

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Occupational Therapist - PediatricsPediatrics

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