Individual
MRS. MICHELLE HIATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
484 OLD HOLLOW RD, PILOT MOUNTAIN, NC 27041-8384
(904) 891-8270
Mailing address
484 OLD HOLLOW RD, PILOT MOUNTAIN, NC 27041-8384
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
8477
NC
Other
Enumeration date
08/24/2014
Last updated
08/24/2014
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