Individual
LAURA LALCEBO MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
28003 SW 135TH AVE, HOMESTEAD, FL 33033-1961
(786) 642-7977
Mailing address
28003 SW 135TH AVE, HOMESTEAD, FL 33033-1961
(786) 642-7977
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14801
FL
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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