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Organization
MIND AND BODY INTERVENTIONS
Active
Organization
MIND AND BODY INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANNORINO OTR, CTRS (CEO)
(386) 479-3121
Entity
Organization
Contact information
Practice address
1205 E CAYUGA ST, TAMPA, FL 33603-4216
(386) 479-3121
Mailing address
1205 E CAYUGA ST, TAMPA, FL 33603-4216
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
222Q00000X
Developmental Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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