Individual
GINA MARIE LASTELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
880 PATRICIA AVE, DUNEDIN, FL 34698-6072
(727) 803-1102
Mailing address
260 1ST AVE S STE 200, SAINT PETERSBURG, FL 33701-4364
(727) 803-1102
(727) 502-6027
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT22582
FL
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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