Individual
JUSTIN PLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
911 N SPRING GARDEN AVE, DELAND, FL 32720-2560
(386) 736-3108
Mailing address
6674 HIBISCUS ST, BUNNELL, FL 32110-5054
(386) 627-4266
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13625
FL
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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