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Individual

LOREN MIRSKY PIATKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2478 IDLE CT, THE VILLAGES, FL 32163-2657
(352) 461-3424
Mailing address
2478 IDLE CT, THE VILLAGES, FL 32163-2657
(352) 461-3424

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
21032
FL
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
21032
FL

Other

Enumeration date
04/11/2024
Last updated
04/11/2024
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