Mrs. Tynisha Doe
Occupational Therapist - Gerontology
1150 Ponce De Leon Blvd
Clearwater
, Florida 33756-1041
Mrs. Tynisha Doe
Occupational Therapist - Gerontology
1150 Ponce De Leon Blvd
Clearwater
, Florida 33756-1041
(207) 610-0344
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Mrs. Tynisha Doe
- 2681 Roosevelt Blvd Apt 4305
- Clearwater, FL
- Zip : 33760-2962
- Phone : (207) 610-0344
Second Address
- Mrs. Tynisha Doe
- 1150 Ponce De Leon Blvd
- Clearwater, FL
- Zip : 33756-1041
- Phone : (727) 585-5491
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 15805 | FL |
National Provider Identifier
| NPI | 1437603222 |
|---|---|
| Provider Name | Mrs. Tynisha Doe |
| First Address | Clearwater, FL 33760-2962 |
| Second Address | Clearwater, FL 33756-1041 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2016 |
| Last Update Date | 09/08/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.