Individual
HECTOR LUIS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13509 S INDIAN RIVER DR APT 406, JENSEN BEACH, FL 34957-2262
(772) 418-7663
Mailing address
13509 S INDIAN RIVER DR APT 406, JENSEN BEACH, FL 34957-2262
(772) 418-7663
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16236
FL
Other
Enumeration date
12/03/2017
Last updated
12/03/2017
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