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Wylla Marie
Wylla marie
Justimbaste
Occupational therapist
Tavares, United States
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Florida Health Care Practitioner Data Portal
Full name
WYLLA MARIE JUSTIMBASTE
Job Title
Occupational Therapist
Location
Tavares, FL, USA
LIC ID
11214
Current License Expiration Date
28/02/2025
Original Date
17/08/2005
Professional Rank Code
OT
Effective Date
21/02/2015
Board Action Indicator
Y
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
LAKE
Practice Location Address Line 1
1000 Waterman Way
Practice Location Address City
TAVARES
Practice Location Address State
FL
Practice Location Address Zipcode
32778
Prescribing Indicator
N
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