Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 594 | FL |
NPI | 1215961040 |
---|---|
Provider Name | Mrs. Debora M. Coty |
First Address | Seffner, FL 33584-3958 |
Second Address | Brandon, FL 33511-4934 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 08/07/2007 |