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Individual

LAUREN VANTURE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
412 E JERSEY ST, ORLANDO, FL 32806-4532
(941) 932-1623
Mailing address
412 E JERSEY ST, ORLANDO, FL 32806-4532
(941) 932-1623

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18226
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023851500
FL
Enumeration date
01/29/2018
Last updated
02/19/2024
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