Individual
EDSON HARDEWIJK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 CASTILE CT, SEBRING, FL 33876-6009
(863) 414-3892
Mailing address
525 CASTILE CT, SEBRING, FL 33876-6009
(863) 414-3892
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
369319
FL
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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