Individual
HUGO ATEHORTUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT17640
Contact information
Practice address
4600 SW 46TH CT STE 140, OCALA, FL 34474-5785
(352) 873-3058
(352) 873-3726
Mailing address
2620 SE MARICAMP RD, OCALA, FL 34471-5582
(352) 732-8868
(352) 732-8890
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT17640
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT17640
OCCUPATIONAL LICIENCE
FL
Enumeration date
02/26/2016
Last updated
04/08/2019
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