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Organization
LIFEFORCE PEDIATRIC THERAPY
Active
Organization
LIFEFORCE PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY A ESSE M.H.M, O.T.R./L (PRESIDENT)
(586) 206-0837
Entity
Organization
Contact information
Practice address
337 SW CHERRYHILL RD, PORT SAINT LUCIE, FL 34953-6235
(586) 206-0837
Mailing address
337 SW CHERRYHILL RD, PORT SAINT LUCIE, FL 34953-6235
(586) 206-0837
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12838
FL
225X00000X
Occupational Therapist
5201004005
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417258021
—
FL
Enumeration date
10/29/2013
Last updated
10/29/2013
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