Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 13674 | FL |
NPI | 1720316649 |
---|---|
Provider Name | Ms. Allison Mackenzie Toth |
First Address | Lakeland, FL 33813-3113 |
Second Address | Lakeland, FL 33813-3113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2009 |
Last Update Date | 04/12/2009 |