Organization
KIDSPOT THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREL L BAXLA OTRL (OWNER-SOLE MEMBER)
(352) 351-8300
Entity
Organization
Contact information
Practice address
425 SW 14TH ST, OCALA, FL 34471-0615
(352) 351-8300
(352) 351-8310
Mailing address
425 SW 14TH ST, OCALA, FL 34471-0615
(352) 351-8300
(352) 351-8310
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-8330
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
888133200
—
FL
Enumeration date
04/02/2007
Last updated
06/23/2008
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