Organization
MOVING AHEAD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE RYAN OTR (PRESIDENT)
(727) 418-6611
Entity
Organization
Contact information
Practice address
3660 E BAY DR APT 1324, LARGO, FL 33771-1942
(727) 418-6611
Mailing address
3660 E BAY DR APT 1324, LARGO, FL 33771-1942
(727) 418-6611
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
7057
FL
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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