Individual
MRS. SHARON M LAZENBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10506 RIVERSIDE RD, PORT CHARLOTTE, FL 33981-5128
(941) 704-8451
(941) 870-0876
Mailing address
10506 RIVERSIDE RD, PORT CHARLOTTE, FL 33981-5128
(941) 704-8451
(941) 807-0876
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA359
FL
Other
Enumeration date
05/15/2007
Last updated
09/22/2015
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