Individual
JEANNIE M LAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1820 ARMSTRONG BLVD, KISSIMMEE, FL 34741-2589
(407) 904-0136
Mailing address
4780 DATA CT, ORLANDO, FL 32817-8331
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT23928
FL
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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