Individual
APRIL DARA EMONG LEANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4240 LAKELAND HIGHLANDS RD, LAKELAND, FL 33813-3113
(863) 607-5948
Mailing address
5161 WILLIAMSTOWN BLVD, LAKELAND, FL 33810-3710
(217) 377-9086
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057.003126
IL
224Z00000X
Occupational Therapy Assistant
Primary
OTA 11027
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U3802456601
CIGNA
FL
Enumeration date
10/01/2010
Last updated
10/01/2010
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