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Individual
RITA A HASKINS
Active
Individual
RITA A HASKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
364
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
347529
—
MT
05
—
5605041
—
MT
01
—
66085
BLUE CROSS
MT
Enumeration date
12/08/2006
Last updated
07/09/2007
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