Individual
HANNAH BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1483 SW BOUGAINVILLEA AVE, PORT ST LUCIE, FL 34953-7302
(513) 503-9374
Mailing address
1657 SIENNA DR, MELBOURNE, FL 32934-9006
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15722
FL
Other
Enumeration date
10/07/2017
Last updated
10/07/2017
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