Individual
MS. LAURA LEE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1626 DAVIS RD, WEST PALM BEACH, FL 33406-5640
(561) 439-8897
Mailing address
1626 DAVIS RD, WEST PALM BEACH, FL 33406-5640
(561) 439-8897
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
OT 14424
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT 14424
STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
FL
Enumeration date
02/12/2013
Last updated
02/12/2013
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