Individual
MS. LAURA LOUISE WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 PALM COAST PKWY SE, PALM COAST, FL 32137-8209
(386) 446-6060
Mailing address
10 RAMBLE WAY, PALM COAST, FL 32164-8801
(386) 503-6389
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 10095
FL
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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