Most Relevant Information
Provider Data
| NPI Number: | 1003434614 |
| Provider Name: | LAUREN ALANA FAVORITO OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OT18077 |
Most Important Dates
| Enumeration Date: | 07/09/2020 |
| Last Updated: | 07/09/2020 |
Provider Practice Location
3938 S TAMIAMI TRL
SARASOTA
FL
342313622
Practice Location Phone/Fax
| Phone: | 8669891114 |
| Fax: | 8669891114 |
Provider Mailing Location
3938 S TAMIAMI TRL
SARASOTA
FL
342313622
Provider Mailing Phone/Fax
| Phone: | 8669891114 |
| Fax: | 8669891114 |