Provider Demographics
NPI:1851702443
Name:HAIR, NATALIE
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:
Last Name:HAIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 LAKE GEM CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-7121
Mailing Address - Country:US
Mailing Address - Phone:407-493-0009
Mailing Address - Fax:407-850-0837
Practice Address - Street 1:5671 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-4291
Practice Address - Country:US
Practice Address - Phone:407-888-2255
Practice Address - Fax:407-888-2446
Is Sole Proprietor?:No
Enumeration Date:2014-05-16
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTT29238225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist