Individual
ALICE LUBANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14030 TROUVILLE DR, TAMPA, FL 33624-6970
(813) 767-4589
Mailing address
PO BOX 270026, TAMPA, FL 33688-0026
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0005449
FL
Other
Enumeration date
11/01/2006
Last updated
07/09/2007
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