Individual
JUSTITIA HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
410 10TH AVE W, PALMETTO, FL 34221-5032
(941) 722-3582
Mailing address
3834 DAY BRIDGE PL, ELLENTON, FL 34222-6205
(941) 962-3312
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10758
FL
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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