Individual
CATHERINE L HARTSHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L, CMLDT
Contact information
Practice address
125 SANFORD AVE, DEBARY, FL 32713-5119
(386) 456-7211
Mailing address
125 SANFORD AVE, DEBARY, FL 32713-5119
(386) 456-7211
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13582
FL
Other
Enumeration date
05/02/2015
Last updated
05/02/2015
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