Individual
MS. MICHELE K STAUDENMAIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTLR
Contact information
Practice address
5305 PAGNOTTA PL, LUTZ, FL 33558-8046
(919) 449-7460
Mailing address
5305 PAGNOTTA PL, LUTZ, FL 33558-8046
(919) 449-7460
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT15491
FL
Other
Enumeration date
09/24/2007
Last updated
11/22/2013
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