Individual
MRS. JUDITH DAY HETLAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHA, OTR
Contact information
Practice address
2833 EXECUTIVE PARK DR, WESTON, FL 33331-3650
(954) 353-8777
Mailing address
2833 EXECUTIVE PARK DR, WESTON, FL 33331-3650
(954) 353-8777
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1302
FL
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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