Organization
INNOVATIVE THERAPIES GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY A LANCASTER OTR/L (PRESIDENT)
(352) 216-1911
Entity
Organization
Contact information
Practice address
929 HWY 27/441, UNIT 301, LADY LAKE, FL 32159-3002
(352) 433-0091
(352) 433-0676
Mailing address
929 HWY 27/441, UNIT 301, LADY LAKE, FL 32159-3002
(352) 433-0091
(352) 433-0676
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 00330
FL
225X00000X
Occupational Therapist
Primary
OT 4267
FL
225XH1200X
Hand Occupational Therapist
OT 4267
FL
235Z00000X
Speech-Language Pathologist
SA 2999
FL
Other
Enumeration date
12/02/2008
Last updated
10/03/2013
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