Individual
MYRA HAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
9201 LEHALL SQ E, LAKELAND, FL 33810-1412
(863) 224-8585
Mailing address
9201 LEHALL SQ E, LAKELAND, FL 33810-1412
(863) 224-8585
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12670
FL
Other
Enumeration date
02/02/2013
Last updated
02/02/2013
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