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Individual

TERESA HNATOWICZ MINTZ

Active
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Individual

TERESA HNATOWICZ MINTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11932
NC
225X00000X
Occupational Therapist
5252
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1942419478
NC
05
TH3306
SC
Enumeration date
05/22/2007
Last updated
05/10/2022
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