Individual
HANNAH MATHESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
851 N WILSON ST, CRESTVIEW, FL 32536-2639
(850) 607-6910
(850) 607-6932
Mailing address
3771 STEFANI RD, CANTONMENT, FL 32533-7795
(850) 607-6910
(850) 607-6932
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-16-23199
FL
224Z00000X
Occupational Therapy Assistant
Primary
17867
FL
Other
Enumeration date
01/05/2018
Last updated
06/09/2021
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