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Individual

BRIAN DAVID HINAMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
2413 INDIGO DRIVE, CLEARWATER, FL 33763-1321
(813) 300-1378
Mailing address
2413 INDIGO DRIVE, CLEARWATER, FL 33763-1321
(813) 300-1378

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10413
FL
225XN1300X
Neurorehabilitation Occupational Therapist
OT10413
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
830063100
FL
05
887992300
FL
Enumeration date
05/04/2007
Last updated
04/05/2011
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