Individual
CAROLINE N LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 S BEACH ST STE 200, DAYTONA BEACH, FL 32114-4433
(386) 898-6040
Mailing address
210 S BEACH ST STE 200, DAYTONA BEACH, FL 32114-4433
(386) 898-6040
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19976
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA19976
OTA
FL
Enumeration date
10/08/2025
Last updated
10/08/2025
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