Individual
MARY FRANCES LAQUATRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8461 LAKE WORTH RD STE 115, LAKE WORTH, FL 33467-2474
(561) 345-1064
Mailing address
10921 SW DUNHILL CT, PORT ST LUCIE, FL 34987-2403
(561) 345-1064
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11752
FL
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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