Individual
LAUREN CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15002 HUTCHISON RD, TAMPA, FL 33625-5509
(813) 960-1969
Mailing address
4107 W BAY AVE, TAMPA, FL 33616-1209
(813) 528-1971
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19839
FL
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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