Individual
LAUREN SHERBUK ANISCHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT OTR/L
Contact information
Practice address
4902 CREEKSIDE DR STE A, CLEARWATER, FL 33760-4033
(727) 592-9100
Mailing address
10702 PRESERVE LAKE DR APT 107, TAMPA, FL 33626-4438
(727) 418-2207
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18668
FL
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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