Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 005496 | GA |
N | 225X00000X | Occupational Therapist | 8769 | NC |
Y | 225XH1200X | Occupational Therapist - Hand | OT17080 | FL |
NPI | 1043652670 |
---|---|
Provider Name | Stephanie May |
First Address | St Petersburg, FL 33716-1278 |
Second Address | Largo, FL 33771-2323 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2013 |
Last Update Date | 21/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
015012200 | (05) | FL |