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Individual

LUTHER KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DROT, OTR/L, CDRS

Contact information

Practice address
2701 SW 53RD LN, GAINESVILLE, FL 32608-8909
(352) 273-6620
Mailing address
PO BOX 100164, GAINESVILLE, FL 32610-0164
(352) 273-6620

Taxonomy

Speciality
Code
Description
License number
State
225XR0403X
Driving and Community Mobility Occupational Therapist
Primary
OT18749
FL

Other

Enumeration date
04/23/2019
Last updated
04/23/2019
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