MEDICARE: LITA M MADLANG OT

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	225XP0200X	Pediatric Occupational Therapist
2	225XH1200X	Hand Occupational Therapist	OT25181	FL

General Provider Information

NPI Number	:	1578323721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LITA M MADLANG OT

Provider Business Mailing Address
First Line	:	454 RINEHART RD STE 1001
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-5251
Country	:	US
Telephone Number	:	407-338-3161
Fax Number	:	407-206-4591

Provider Business Practice Location Address
First Line	:	454 RINEHART RD STE 1001
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-5251
Country	:	US
Telephone Number	:	407-338-3161
Fax Number	:	407-206-4591

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

Provider Enumeration Date	:	03/21/2024
Last Update Date	:	11/11/2025

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Directions to “ LITA M MADLANG OT” Practice Location

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