Individual
MR. LAHKIM H SHABAZZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
14800 COYOTE RD, HUDSON, FL 34669-1100
(813) 728-5236
Mailing address
14800 COYOTE RD, HUDSON, FL 34669-1100
(813) 728-5236
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13226
FL
225700000X
Massage Therapist
MA51130
FL
Other
Enumeration date
11/05/2007
Last updated
10/21/2021
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