Individual
MRS. LARISA MIRZOYANTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34921 US HIGHWAY 19 N, SUITE 450, PALM HARBOR, FL 34684-1969
(800) 251-8998
(727) 573-2648
Mailing address
34921 US HIGHWAY 19 N, SUITE 450, PALM HARBOR, FL 34684-1969
(800) 251-8998
(727) 573-2648
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10930
FL
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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