Individual
ALICIA LYNN HENDRIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
290 DIANA BLVD, MERRITT ISLAND, FL 32953-3165
(321) 453-0502
Mailing address
290 DIANA BLVD, MERRITT ISLAND, FL 32953-3165
(321) 453-0502
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 9540
FL
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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