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Individual

LAUREN FEENEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
917 N PENNSYLVANIA AVE, PREMAPLAY LLC, WINTER PARK, FL 32789-2456
(407) 790-5601
(407) 602-7858
Mailing address
14423 PRUNNINGWOOD PL, WINTER GARDEN, FL 34787-6238
(315) 278-6474

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14778
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OTA14778
STATE OF FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
06/06/2016
Last updated
06/06/2016
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