Individual
LAUREN BEALE GULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3633 FINCH ST, ORLANDO, FL 32803-2401
(407) 394-9761
Mailing address
3633 FINCH ST, ORLANDO, FL 32803-2401
(407) 394-9761
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16285
FL
Other
Enumeration date
01/16/2018
Last updated
06/16/2018
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