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Individual

HILLARIE ELIZABETH HOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD

Contact information

Practice address
533 NE 2ND AVE, FORT LAUDERDALE, FL 33301-3231
(954) 861-7080
Mailing address
533 NE 2ND AVE, FORT LAUDERDALE, FL 33301-3231
(954) 861-7080

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
OT17818
FL
225X00000X
Occupational Therapist
Primary
17818
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
017798400
FL
Enumeration date
06/14/2016
Last updated
09/23/2016
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