MEDICARE: HILIT DAHAN OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT11028	FL
2	222Q00000X	Developmental Therapist	OT 11028	FL

General Provider Information

NPI Number	:	1083629463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HILIT DAHAN OTR/L

Provider Business Mailing Address
First Line	:	280 LAS BRISAS CIR
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33326-3136
Country	:	US
Telephone Number	:	954-684-5503
Fax Number	:

Provider Business Practice Location Address
First Line	:	280 LAS BRISAS CIR
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33326-3136
Country	:	US
Telephone Number	:	954-684-5503
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	07/25/2016

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