Marilyn Laughlin

Individual provider Active NPI Occupational Therapy Assistant · Heathrow, FL

NPI 1922251917 · NPPES record last updated Nov 4, 2008

Key facts

NPI
1922251917
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
1016728 (MD)
Practice address
1485 International Pkwy
Heathrow, FL 32746-5303
Phone
(800) 798-6035
Fax
(888) 798-6035
NPI assigned
Nov 4, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1016728MDMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1016728 MD Yes

Addresses

Primary practice location

1485 International Pkwy
Heathrow, FL 32746-5303

Mailing address

1485 International Pkwy
Heathrow, FL 32746-5303
Phone (800) 798-6035

Other providers in Heathrow, FL

All providers in Heathrow, FL · Occupational Therapy Assistant in Florida

Sources for this page

Verify at the official NPI Registry.