Individual
COLENA MABLE LAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38130 PRETTY POND RD, ZEPHYRHILLS, FL 33540-1419
(813) 400-2291
Mailing address
1204 CRYSTAL SPRINGS RD, ZEPHYRHILLS, FL 33540-2363
(813) 997-5910
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15829
FL
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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