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NPI Code Detail

MEDICARE: DONNA MARIE VICKNAIR MOT, CHT

MEDICARE: DONNA MARIE VICKNAIR MOT, CHT
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
1225XH1200XHand Occupational TherapistOT17757FL

General Provider Information

NPI Number : 1568911493
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA MARIE VICKNAIR MOT, CHT
Provider Business Mailing Address
First Line : 2831 RINGLING BLVD STE E120
Second Line :
City : SARASOTA
State : FL
Zip : 34237-5353
Country : US
Telephone Number : 941-955-2020
Fax Number : 941-955-2120
Provider Business Practice Location Address
First Line : 2831 RINGLING BLVD STE E120
Second Line :
City : SARASOTA
State : FL
Zip : 34237-5353
Country : US
Telephone Number : 941-955-2020
Fax Number : 941-955-2120
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2016
Last Update Date : 05/11/2026

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Directions to “ DONNA MARIE VICKNAIR MOT, CHT” Practice Location

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