Individual
LAURA ANN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3500 E FLETCHER AVE STE 121, TAMPA, FL 33613-4789
(813) 431-2086
Mailing address
521 CARRIAGE HILLS DR, TEMPLE TERRACE, FL 33617-3715
(813) 431-2086
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA51617
FL
225X00000X
Occupational Therapist
OT10055
FL
Other
Enumeration date
12/20/2020
Last updated
12/20/2020
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