Individual
COLLEEN MARILYN LAFFERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1035 SPANISH RIVER RD APT 217, BOCA RATON, FL 33432-7669
(856) 630-0341
Mailing address
1035 SPANISH RIVER RD APT 217, BOCA RATON, FL 33432-7669
(856) 630-0341
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT11039
FL
225X00000X
Occupational Therapist
TR4600125600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT11039
OCCUPATIONAL THERAPY LICENSE
FL
01
—
TR4600125600
OCCUPATIONAL THERAPY LICENSE
NJ
Enumeration date
11/22/2013
Last updated
07/21/2022
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