Organization
LAKELAND THERAPY PROVIDERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY COUGHLIN (OTR)
(863) 413-0802
Entity
Organization
Contact information
Practice address
1335 ARIANA ST, LAKELAND, FL 33803-1879
(863) 413-0802
(863) 413-0812
Mailing address
1335 ARIANA ST, LAKELAND, FL 33803-1879
(863) 413-0802
(863) 413-0812
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/26/2007
Last updated
08/22/2020
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