MRS. Judith Esther Disla

NPI #1023476215 in Lutz, Florida

Provider Information

NPI Number: 1023476215
Entity Type: Individual
Name: MRS. Judith Esther Disla
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Feb 3, 2016
Last Updated: Feb 3, 2016

Practice Location

Address: 16102 N FLORIDA AVE
City: Lutz
State: Florida
ZIP Code: 33549-6129
Phone: (813) 873-1936

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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