Individual
YESENIA HEVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
112 W CITRUS ST, ALTAMONTE SPRINGS, FL 32714-2502
(407) 865-5642
(407) 865-5646
Mailing address
914 LORMANN CIR, LONGWOOD, FL 32750-3244
(407) 223-8115
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16981
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA16981
PROVIDER LICENSE NUMBER
FL
Enumeration date
06/20/2019
Last updated
06/20/2019
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