Individual
DONNA LYNN HERNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
300 S FLORIDA AVE APT 200B, TARPON SPRINGS, FL 34689-2741
(917) 319-2897
Mailing address
300 S FLORIDA AVE APT 200B, TARPON SPRINGS, FL 34689-2741
(917) 319-2897
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15713
FL
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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