Individual
LAUREN RUSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4907 NW 43RD ST, SUITE C, GAINESVILLE, FL 32606-2006
(352) 372-0047
Mailing address
4907 NW 43RD ST, SUITE C, GAINESVILLE, FL 32606-2006
(352) 372-0047
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT 18235
FL
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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