Individual
DESIREE NADINE LANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2625 NW 77TH BLVD, GAINESVILLE, FL 32606-8674
(352) 331-9356
Mailing address
2625 NW 77TH BLVD, GAINESVILLE, FL 32606-8674
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10036
FL
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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