Individual
MRS. LANA IKU VANDOREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
13005 COMMUNITY CAMPUS DR, TAMPA, FL 33625-4000
(813) 962-7138
Mailing address
13005 COMMUNITY CAMPUS DR, TAMPA, FL 33625-4000
(813) 962-7138
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9695
FL
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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