Individual
JENNA HAZUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
8254 118TH AVE STE 100, LARGO, FL 33773-5027
(727) 541-5304
Mailing address
8254 118TH AVE STE 100, LARGO, FL 33773-5027
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20438
FL
Other
Enumeration date
12/20/2019
Last updated
02/08/2023
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