Individual
LAEL PASCHAL KALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1673 HASTINGS HAMMOCK LN, FLEMING ISLAND, FL 32003-7211
(904) 505-3639
Mailing address
1673 HASTINGS HAMMOCK LN, FLEMING ISLAND, FL 32003-7211
(904) 505-3639
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13977
FL
Other
Enumeration date
03/02/2011
Last updated
10/10/2011
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