Individual
DEBRA HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3687 TAMPA RD STE 200, OLDSMAR, FL 34677-6313
(813) 471-0152
Mailing address
3687 TAMPA RD STE 200, OLDSMAR, FL 34677-6313
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP001451L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP001451L
STATE LIC
PA
Enumeration date
06/05/2008
Last updated
04/20/2015
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