Individual
GLORIMAR LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10286 WATER HYACINTH DR, ORLANDO, FL 32825-8818
(407) 222-2394
Mailing address
PO BOX 781542, ORLANDO, FL 32878-1542
(407) 222-2394
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OT10048
FL
225X00000X
Occupational Therapist
Primary
OT10048
FL
Other
Enumeration date
08/26/2021
Last updated
09/12/2021
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