Individual
ELLEN HEPNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7330 REGINA ROYALE, SARASOTA, FL 34238-4579
(941) 544-7720
(941) 527-0583
Mailing address
PO BOX 50515, SARASOTA, FL 34232-0304
(941) 544-7720
(941) 527-0583
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014508400
—
FL
Enumeration date
03/11/2015
Last updated
09/03/2015
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