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Individual

LAN NGUYEN CASSELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3421 W LEROY ST, TAMPA, FL 33607-1129
(813) 846-5089
(813) 441-8121
Mailing address
3421 W LEROY ST, TAMPA, FL 33607-1129
(813) 846-5089
(813) 441-8121

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT5836
FL
225XP0200X
Pediatric Occupational Therapist
OT 5836
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
885649400
FL
Enumeration date
08/25/2006
Last updated
04/21/2021
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