Individual
LAUREN BUBAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4997 ROYAL GULF CIR, FORT MYERS, FL 33966-7006
(239) 313-5049
Mailing address
27005 JONES LOOP RD # 159, PUNTA GORDA, FL 33982-2344
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19530
FL
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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