Individual
DANIELLE HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
625 BAYHARBOR TER, SEBASTIAN, FL 32958-5955
(772) 285-2271
Mailing address
625 BAYHARBOR TER, SEBASTIAN, FL 32958-5955
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT14468
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003459100
—
FL
Enumeration date
04/08/2011
Last updated
04/13/2017
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