Organization
LASAGNA PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA LASAGNA OT (OCCUPATIONAL THERAPIST/OWNER)
(786) 556-6222
Entity
Organization
Contact information
Practice address
13540 SW 108TH STREET CIR N, MIAMI, FL 33186-3349
(786) 556-6222
Mailing address
13540 SW 108TH STREET CIR N, MIAMI, FL 33186-3349
(786) 556-6222
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
887034900
—
FL
Enumeration date
01/07/2015
Last updated
01/07/2015
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