Individual
INIS LULOLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6850 OLD BANYAN WAY, NAPLES, FL 34109-7824
(561) 385-1760
Mailing address
6850 OLD BANYAN WAY, NAPLES, FL 34109-7824
(561) 385-1760
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13678
FL
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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