Huszcza, Mary D

Huszcza, Mary D is an individual health care provider with primary practice located at 345 Captiva Dr , Ponte Vedra FL 32081-5066. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Huszcza, Mary D can be contacted via phone (904) 254-7569.

Contact Information

Primary practice address
345 Captiva Dr Ponte Vedra FL 32081-5066
Phone: (904) 254-7569
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OT 10154 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT 10154 Florida

Profile Details

NPI number 1760539878
LBN Legal business name Huszcza, Mary D
Credentials OTR L
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Sep 3rd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760539878 NPPES
Florida MEDICAID 887015200

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