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Individual

CHRISTINE HEANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7723 JASPER AVE, JACKSONVILLE, FL 32211-7719
(904) 725-8044
(904) 721-3193
Mailing address
380 STATELY SHOALS TRL, PONTE VEDRA, FL 32081-5069
(917) 270-1189

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16593
FL

Other

Enumeration date
02/16/2023
Last updated
02/16/2023
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