Individual
HAZEL MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
9320 US HIGHWAY 301 S, RIVERVIEW, FL 33578-6300
(318) 507-1618
Mailing address
1605 MAIN ST, VALRICO, FL 33594-6723
(318) 507-1618
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
20157
FL
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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