Individual
LAURA X MONROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
821 EMMETT ST, KISSIMMEE, FL 34741-5433
(407) 931-1014
Mailing address
821 EMMETT ST, KISSIMMEE, FL 34741-5433
(407) 931-1014
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
18610
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18610
—
FL
Enumeration date
12/21/2021
Last updated
12/21/2021
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