Individual
MISS SPARKAL DAWN HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
6000 TURKEY LAKE RD STE 114, ORLANDO, FL 32819-4205
(321) 732-3723
(321) 352-7168
Mailing address
6000 TURKEY LAKE ROAD SUITE 114, ORLANDO, FL 32819
(321) 732-3723
(321) 352-7168
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15391
FL
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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