Individual
LAUREN ALYSSA KHATIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8700 A C SKINNER PKWY, JACKSONVILLE, FL 32256-0836
(904) 642-7300
Mailing address
3587 PEBBLE PATH LN, JACKSONVILLE, FL 32224-1617
(904) 864-0153
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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