Individual
SHARMILLA BHAGWANDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1010 CARPENTERS WAY, LAKELAND, FL 33809-3926
(863) 815-0488
Mailing address
1010 CARPENTERS WAY, LAKELAND, FL 33809-3926
(863) 815-0488
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11844
FL
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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