Individual
HEATHER TANGUAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSOTR/L
Contact information
Practice address
1437 BENT OAKS BLVD, DELAND, FL 32724-8061
(386) 734-5525
Mailing address
1437 BENT OAKS BLVD, DELAND, FL 32724-8061
(386) 734-5525
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT9713
FL
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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