Healthcare Provider Details

I. General information

NPI: 1720355993
Provider Name (Legal Business Name): VALERIE NAPOLITANO CAMPBELL OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VALERIE A NAPOLITANO

II. Dates (important events)

Enumeration Date: 11/16/2011
Last Update Date: 08/02/2023
Certification Date: 08/02/2023
Deactivation Date: 10/01/2012
Reactivation Date: 01/27/2017

III. Provider practice location address

301 W 26TH ST
LYNN HAVEN FL
32444-4713
US

IV. Provider business mailing address

301 W 26TH ST
LYNN HAVEN FL
32444-4713
US

V. Phone/Fax

Practice location:
  • Phone: 850-769-5371
  • Fax: 850-872-9558
Mailing address:
  • Phone: 850-769-5371
  • Fax: 850-872-9558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number676
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number2768
License Number StateMS
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number24018
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: