Gina Marie Lastella
Occupational Therapist
880 Patricia Ave
Dunedin
, Florida 34698-6072
Gina Marie Lastella
Occupational Therapist
880 Patricia Ave
Dunedin
, Florida 34698-6072
(727) 502-6027
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Gina Marie Lastella
- 260 1st Ave S Ste 200
- Saint Petersburg, FL
- Zip : 33701-4364
- Fax : (727) 502-6027
- Phone : (727) 803-1102
Second Address
- Gina Marie Lastella
- 880 Patricia Ave
- Dunedin, FL
- Zip : 34698-6072
- Phone : (727) 803-1102
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT22582 | FL |
National Provider Identifier
| NPI | 1003567769 |
|---|---|
| Provider Name | Gina Marie Lastella |
| First Address | Saint Petersburg, FL 33701-4364 |
| Second Address | Dunedin, FL 34698-6072 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/01/2022 |
| Last Update Date | 14/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.