Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OT16416 | FL |
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT 16416 | FL |
NPI | 1013316926 |
---|---|
Provider Name | Donna Kato |
First Address | Lutz, FL 33548 |
Second Address | Lutz, FL 33548 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2014 |
Last Update Date | 14/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
012998200 | (05) | FL |