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NPI Code Detail

MEDICARE: LAUREN CHAVEZ OTR/L

MEDICARE: LAUREN CHAVEZ OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist19839FL

General Provider Information

NPI Number : 1548728066
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN CHAVEZ OTR/L
Provider Business Mailing Address
First Line : 4107 W BAY AVE
Second Line :
City : TAMPA
State : FL
Zip : 33616-1209
Country : US
Telephone Number : 813-528-1971
Fax Number :
Provider Business Practice Location Address
First Line : 15002 HUTCHISON RD
Second Line :
City : TAMPA
State : FL
Zip : 33625-5509
Country : US
Telephone Number : 813-960-1969
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2019
Last Update Date : 03/04/2019

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Directions to “ LAUREN CHAVEZ OTR/L” Practice Location

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