Healthcare Provider Details

I. General information

NPI: 1467794784
Provider Name (Legal Business Name): DEANNA LYNN MARR OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEANNA LYNN LOETSCHER OTR/L

II. Dates (important events)

Enumeration Date: 03/25/2013
Last Update Date: 03/02/2023
Certification Date: 03/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2595 TAMPA RD STE A
PALM HARBOR FL
34684-3130
US

IV. Provider business mailing address

736 WELLINGTON CT
OLDSMAR FL
34677-4018
US

V. Phone/Fax

Practice location:
  • Phone: 727-953-3228
  • Fax: 727-953-3486
Mailing address:
  • Phone: 813-417-6053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT9409
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberOT9409
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: