Organization
LIGHTNING THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL LAMIANO OT (CO OWENER)
(813) 957-4040
Entity
Organization
Contact information
Practice address
11442 LAUREL BROOK CT, RIVERVIEW, FL 33569-2021
(813) 957-4041
Mailing address
11442 LAUREL BROOK CT, RIVERVIEW, FL 33569-2021
(813) 957-4041
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT11939
FL
261QR0400X
Rehabilitation Clinic/Center
Primary
OT11940
FL
Other
Enumeration date
12/07/2017
Last updated
02/04/2020
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