MEDICARE: MRS. CATALINA P HOWERTON 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	OT6404	FL

General Provider Information

NPI Number	:	1720217920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CATALINA P HOWERTON OTR/L

Provider Business Mailing Address
First Line	:	6912 HIGHLAND PARK CIR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33966-5319
Country	:	US
Telephone Number	:	239-823-9114
Fax Number	:	239-561-8453

Provider Business Practice Location Address
First Line	:	6912 HIGHLAND PARK CIR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33966-5319
Country	:	US
Telephone Number	:	239-823-9114
Fax Number	:	239-561-8453

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

Provider Enumeration Date	:	07/08/2009
Last Update Date	:	07/08/2009

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