Organization
HAVEN THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL VICKERS OT (MEMBER)
(321) 271-7785
Entity
Organization
Contact information
Practice address
12600 W W RANCH RD, SEBASTIAN, FL 32958-7801
(321) 271-7785
Mailing address
PO BOX 35, FELLSMERE, FL 32948-0035
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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