MEDICARE: MRS. CHRISTINE FALKNER OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT10606	FL

General Provider Information

NPI Number	:	1073998894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINE FALKNER OTR/L

Provider Business Mailing Address
First Line	:	985 DYSON DR
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-4517
Country	:	US
Telephone Number	:	407-256-3229
Fax Number	:

Provider Business Practice Location Address
First Line	:	7203 ALOMA AVE
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-7101
Country	:	US
Telephone Number	:	321-972-3960
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2015
Last Update Date	:	07/22/2015

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