Individual
LAURIE GAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3938 S TAMIAMI TRL, SARASOTA, FL 34231-3622
(941) 366-0011
Mailing address
3938 S TAMIAMI TRL, SARASOTA, FL 34231-3622
(941) 366-0011
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18211
FL
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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