Provider Demographics
NPI:1922063130
Name:HASBROUCK, DONNA HUMPHRIES (MS,OTR/L, CHT)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:HUMPHRIES
Last Name:HASBROUCK
Suffix:
Gender:F
Credentials:MS,OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 S OLIVE AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BCH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-6127
Mailing Address - Country:US
Mailing Address - Phone:561-461-5343
Mailing Address - Fax:
Practice Address - Street 1:801 S OLIVE AVE STE 106
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-6127
Practice Address - Country:US
Practice Address - Phone:561-461-5343
Practice Address - Fax:561-530-2026
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT0008087225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand