Lifespan Practice, Llc | |
37933 Florida Ave, Dade City, FL 33525-4910 | |
(813) 312-5716 | |
Not Available |
Full Name | Lifespan Practice, Llc |
---|---|
Type | Facility |
Speciality | Occupational Therapist |
Location | 37933 Florida Ave, Dade City, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518490820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT18332 (Florida) | Primary |
Mailing Address | Practice Location Address |
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Lifespan Practice, Llc 37933 Florida Ave, Dade City, FL 33525-4910 Ph: (813) 312-5716 | Lifespan Practice, Llc 37933 Florida Ave, Dade City, FL 33525-4910 Ph: (813) 312-5716 |
Christopher Bates, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 37135 Coleman Ave, Dade City, FL 33525 Phone: 352-567-8615 | |
Madisen Nguyen, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13540 17th St, Dade City, FL 33525 Phone: 352-437-5151 Fax: 813-212-3870 | |
Grace Portoghese, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 13540 17th St, Dade City, FL 33525 Phone: 352-437-5151 Fax: 813-212-3870 |