Organization
LAKELAND'S CHILDREN THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS YANCE (OWNER)
(786) 602-0904
Entity
Organization
Contact information
Practice address
215 IMPERIAL BLVD STE B2, LAKELAND, FL 33803-4689
(786) 602-0904
Mailing address
215 IMPERIAL BLVD STE B2, LAKELAND, FL 33803-4689
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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