Individual
MRS. LORA HOLLIFIELD TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
601 W MICHIGAN ST, ORLANDO, FL 32805-6203
(407) 317-7430
Mailing address
175 THORNBURY DR, KISSIMMEE, FL 34744-8464
(407) 973-0539
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT6750
FL
225XP0200X
Pediatric Occupational Therapist
Primary
OT6750
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
812178800
—
FL
05
—
883877100
—
FL
Enumeration date
11/14/2006
Last updated
04/05/2012
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