Individual
MRS. LAUREN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
235 9TH AVE N, JACKSONVILLE BEACH, FL 32250-7142
(904) 249-8893
Mailing address
2989 MIKRIS DR E, JACKSONVILLE, FL 32225-7624
(217) 620-8355
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16115
FL
Other
Enumeration date
09/17/2017
Last updated
09/17/2017
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