Individual
DERRION HANSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 HARDEN BLVD STE 160, LAKELAND, FL 33803-1824
(863) 683-4726
Mailing address
6403 16TH ST, ZEPHYRHILLS, FL 33542-1675
(813) 312-8041
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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