Organization
BULU FREEDOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAPOLOEAN WASHINGTON PT, NUTRITIONIST (CEO)
(813) 812-0459
Entity
Organization
Contact information
Practice address
10024 STRAFFORD OAK CT APT 817, TAMPA, FL 33624-5153
(813) 812-0459
Mailing address
10024 STRAFFORD OAK CT APT 817, TAMPA, FL 33624-5153
(813) 812-0459
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
111N00000X
Chiropractor
—
—
133N00000X
Nutritionist
Primary
—
—
225100000X
Physical Therapist
—
—
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
—
225600000X
Dance Therapist
—
—
225700000X
Massage Therapist
—
—
225A00000X
Music Therapist
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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