Individual
LORI HUERTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 SOFTSHELL ST, SAINT CLOUD, FL 34771-7515
(305) 244-3112
Mailing address
1515 SOFTSHELL ST, SAINT CLOUD, FL 34771-7515
(305) 244-3112
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
12/10/2007
Last updated
10/10/2018
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