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Hannah Blair, COTA

Occupational Therapy Assistant in Port St Lucie, FL. Individual provider (NPI-1).

NPI number1407366115
StatusActive
Last updated in NPPESOct 7, 2017

Details

NPI
1407366115
Entity type
Individual (NPI-1)
Name
Hannah Blair
Credential
COTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 7, 2017
Last updated
Oct 7, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy AssistantOTA15722FLYes

Practice location

1483 Sw Bougainvillea Ave
Port St Lucie, FL 34953-7302

Phone 513-503-9374

Mailing address

1657 Sienna Dr
Melbourne, FL 32934-9006

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