| Alice Lubanga, | |
|
14030 Trouville Dr, Tampa, FL 33624-6970 | |
| (813) 767-4589 | |
| Not Available |
| Full Name | Alice Lubanga |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 14030 Trouville Dr, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326125667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT0005449 (Florida) | Primary |
| Provider Name | Mary Lee Foundation |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1083870778 PECOS PAC ID: 9436339140 Enrollment ID: O20200318000859 |
| Mailing Address | Practice Location Address |
|---|---|
| Alice Lubanga, Po Box 270026, Tampa, FL 33688-0026 Ph: () - | Alice Lubanga, 14030 Trouville Dr, Tampa, FL 33624-6970 Ph: (813) 767-4589 |
Ria Resurreccion Camerino, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2701 N Rocky Point Dr, #650, Tampa, FL 33607 Phone: 800-892-0640 | |
Mrs. Lauren Cheryl Sheridan, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5035 E Busch Blvd Ste 7, Tampa, FL 33617 Phone: 813-631-9700 | |
Mrs. Nancy Nmn Mcgee-hernandez, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Mailing Code 117, Tampa, FL 33612 Phone: 813-972-2000 Fax: 813-978-5852 | |
Michele Garrett Foon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6508 Gunn Hwy, Tampa, FL 33625 Phone: 813-963-6923 Fax: 813-264-0768 | |
Twanettha Henry, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1203 E 22nd Ave, Tampa, FL 33605 Phone: 813-229-6901 | |
Kelsey Mcneely, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1907 W Bristol Ave, Tampa, FL 33606 Phone: 678-549-9088 | |
Valentina Solunac, COTA/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3501 Bayshore Blvd, Tampa, FL 33629 Phone: 813-352-1776 |