Individual
CHARMAIN LAVENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3529 HIGH HAMPTON CIR, TAMPA, FL 33610-9757
(305) 213-0184
Mailing address
3529 HIGH HAMPTON CIR, TAMPA, FL 33610-9757
(305) 213-0184
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT010000975
DC
314000000X
Skilled Nursing Facility
Primary
10544
FL
Other
Enumeration date
12/05/2013
Last updated
11/13/2015
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