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Individual

LAURA MARIE CONWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L, CHT

Contact information

Practice address
2318 GREENBRANCH DR, WESLEY CHAPEL, FL 33544-6797
(813) 738-9680
Mailing address
707 SEAGATE DR, TAMPA, FL 33602-5789
(631) 291-6716

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
013477-1
NY
225XH1200X
Hand Occupational Therapist
Primary
13272
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013477-1
NY STATE LICENSE
NY
Enumeration date
07/11/2008
Last updated
07/25/2024
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