Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | ||
N | 225XF0002X | Feeding, Eating & Swallowing | ||
N | 225XH1200X | Occupational Therapist - Hand | OT 13265 | FL |
N | 225XP0200X | Occupational Therapist - Pediatrics |
NPI | 1033360086 |
---|---|
Provider Name | Mrs. Elizabeth Ann Osler |
First Address | Port St Lucie, FL 34953-6039 |
Second Address | Port St Lucie, FL 34953-6039 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2008 |
Last Update Date | 24/11/2020 |