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NPI Code Detail

MEDICARE: KATHERINE MINISEE

MEDICARE:   KATHERINE  MINISEE
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
1224Z00000XOccupational Therapy Assistant212975TX

General Provider Information

NPI Number : 1861881773
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE MINISEE
Provider Business Mailing Address
First Line : 18903 PEBBLE LINKS CIR
Second Line : APT 205
City : TAMPA
State : FL
Zip : 33647-1893
Country : US
Telephone Number : 574-339-7558
Fax Number :
Provider Business Practice Location Address
First Line : 18903 PEBBLE LINKS CIR
Second Line : APT 205
City : TAMPA
State : FL
Zip : 33647-1893
Country : US
Telephone Number : 574-339-7558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2015
Last Update Date : 01/15/2015

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Directions to “ KATHERINE MINISEE ” Practice Location

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