MEDICARE: STEVEN P. LA MANIA

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
1	224Z00000X	Occupational Therapy Assistant	OTA9578	FL

General Provider Information

NPI Number	:	1073740452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN P. LA MANIA

Provider Business Mailing Address
First Line	:	8800 GRAND OAK CIR
Second Line	:	SUITE450
City	:	TAMPA
State	:	FL
Zip	:	33637-2006
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5612 26TH ST W
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34207-3515
Country	:	US
Telephone Number	:	941-751-6532
Fax Number	:	941-751-6932

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2009
Last Update Date	:	06/12/2009

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Directions to “ STEVEN P. LA MANIA ” Practice Location

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