Healthcare Provider Details

I. General information

NPI: 1467449652
Provider Name (Legal Business Name): HIGHLANDS OCCUPATIONAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2005
Last Update Date: 08/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 US HIGHWAY 27 N
SEBRING FL
33870-2100
US

IV. Provider business mailing address

123 US HIGHWAY 27 N
SEBRING FL
33870-2100
US

V. Phone/Fax

Practice location:
  • Phone: 863-471-6303
  • Fax: 863-471-1251
Mailing address:
  • Phone: 863-471-6303
  • Fax: 863-471-1251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER LYNN CASTELLI
Title or Position: OWNER
Credential: OTR/L, CHT
Phone: 863-471-6303