Individual
MAKENSIA HECTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7721 COLONY LAKE DR, BOYNTON BEACH, FL 33436-1302
(561) 633-7490
Mailing address
7721 COLONY LAKE DR, BOYNTON BEACH, FL 33436-1302
(561) 633-7490
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17537
FL
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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