Individual
DANA DEHETRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
14840 HALEYS PL, HUGHESVILLE, MD 20637-2342
(301) 655-1453
Mailing address
14840 HALEYS PL, HUGHESVILLE, MD 20637-2342
(301) 655-1453
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01381
MD
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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