Lifeforce Pediatric Therapy
Occupational Therapist in Port Saint Lucie, FL. Organization (NPI-2).
NPI number1457789596
StatusActive
Last updated in NPPESOct 29, 2013
Details
- NPI
- 1457789596
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifeforce Pediatric Therapy
- Organization subpart
- No
- Enumeration date
- Oct 29, 2013
- Last updated
- Oct 29, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 12838 | FL | Yes |
| 225X00000X | Occupational Therapist | 5201004005 | MI |
Practice location
337 Sw Cherryhill RdPort Saint Lucie, FL 34953-6235
Phone 586-206-0837
Mailing address
337 Sw Cherryhill RdPort Saint Lucie, FL 34953-6235
Phone 586-206-0837
Authorized official
Shirley A Esse
President
5862060837
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