Individual
LAKIN NICOLE KEIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2202 W OAK AVE, PLANT CITY, FL 33563-7222
(813) 754-3761
(813) 754-5301
Mailing address
3159 FRITZKE RD, DOVER, FL 33527-3445
(706) 834-3423
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
19460
FL
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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