Individual
DANIELLE HANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3629 VENTNOR DR, TITUSVILLE, FL 32796-2996
(321) 269-2200
Mailing address
3629 VENTNOR DR, TITUSVILLE, FL 32796-2996
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9542
FL
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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