Individual
DESTINY BONAY HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3305 S. ORANGE AVE, ORLANDO, FL 32806
(407) 852-3300
Mailing address
1031 WALTHAM AVE, ORLANDO, FL 32809-4247
(786) 290-4368
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
25096
FL
Other
Enumeration date
03/14/2024
Last updated
10/31/2024
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