Individual
KEYLA ALVAREZ RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 HARDEN BLVD STE 160, LAKELAND, FL 33803-1824
(863) 683-4726
(863) 682-1705
Mailing address
4316 TROTTERS WAY, LAKELAND, FL 33801-9670
(813) 716-9242
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
25513
FL
Other
Enumeration date
08/28/2024
Last updated
08/29/2024
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