Individual
CELIA HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
279 NW CALIFORNIA BLVD, PORT SAINT LUCIE, FL 34986-2505
(772) 301-0838
Mailing address
296 SE SAINT LUCIE BLVD APT 203, STUART, FL 34996-1383
(772) 634-6368
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16446
FL
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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