Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225000000X | Orthotic Fitter | OT8299 | FL |
N | 225XH1200X | Occupational Therapist - Hand | OT8299 | FL |
NPI | 1063522233 |
---|---|
Provider Name | Mrs. Christa Pauline Baggott |
First Address | Pembroke Pines, FL 33029 |
Second Address | Miami, FL 33189 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 08/07/2007 |