Individual
MRS. MICHELLE LANCLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3975 LA SALLE AVE, SAINT CLOUD, FL 34772-8037
(407) 892-9113
Mailing address
3975 LA SALLE AVE, SAINT CLOUD, FL 34772-8037
(407) 892-9113
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT7710
FL
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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