Individual
LATAURIUS LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6900 TAVISTOCK LAKES BLVD STE 400, ORLANDO, FL 32827-7593
(850) 591-9559
Mailing address
PO BOX 772194, ORLANDO, FL 32877-2194
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
224Z00000X
Occupational Therapy Assistant
Primary
OTA18309
FL
Other
Enumeration date
07/19/2021
Last updated
07/21/2021
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