Individual
MRS. LEE HIXON GITTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1934 HALIFAX DR, PORT ORANGE, FL 32128-3712
(386) 451-2773
Mailing address
1934 HALIFAX DR, PORT ORANGE, FL 32128-3712
(386) 451-2773
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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