Individual
MRS. SUZANNA GAIL HARGRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
(813) 979-3612
Mailing address
18701 HANNA RD, LUTZ, FL 33549-3840
(813) 949-0584
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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