Individual
KALI A LAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6015 POINTE WEST BLVD, BRADENTON, FL 34209-5532
(941) 782-2000
(941) 782-2011
Mailing address
6015 POINTE WEST BLVD, BRADENTON, FL 34209-5532
(941) 782-2000
(941) 782-2011
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT24766
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00949708
RAIL ROAD MEDICARE
FL
Enumeration date
07/15/2009
Last updated
09/19/2011
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