Healthcare Provider Details

I. General information

NPI: 1467232587
Provider Name (Legal Business Name): JESSICA LEE CANTALE-STEINMETZ MSOTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2023
Last Update Date: 10/11/2026
Certification Date: 10/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36430 US HIGHWAY 19 N
PALM HARBOR FL
34684-1330
US

IV. Provider business mailing address

36430 US HIGHWAY 19 N
PALM HARBOR FL
34684-1330
US

V. Phone/Fax

Practice location:
  • Phone: 727-330-0240
  • Fax:
Mailing address:
  • Phone: 727-330-0240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number27562
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number028399
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: