Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OT1194 | FL |
N | 2251E1200X | Ergonomics | OT1194 | FL |
N | 225XE1200X | Ergonomics | OT1194 | FL |
Y | 225XH1200X | Occupational Therapist - Hand | OT1194 | FL |
NPI | 1730214024 |
---|---|
Provider Name | Anna Christina White |
First Address | Lutz, FL 33548-4461 |
Second Address | Tampa, FL 33614-2703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2007 |
Last Update Date | 28/08/2007 |