Individual
MICHAELA JANEE HAGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1107 MABBETTE ST, KISSIMMEE, FL 34741-5161
(407) 201-8079
Mailing address
1138 VIZCAYA LAKE RD APT 205, OCOEE, FL 34761-6959
(407) 216-9828
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19442
FL
Other
Enumeration date
04/24/2023
Last updated
09/13/2023
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