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Individual

PAUL M. LASALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.O.T.A

Contact information

Practice address
1215 KINGSLEY AVE, ORANGE PARK, FL 32073-4631
(904) 296-6800
Mailing address
4076 LAURELWOOD DR, JACKSONVILLE, FL 32257-8913
(904) 444-4210

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12064
FL

Other

Enumeration date
02/15/2013
Last updated
02/15/2013
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