Healthcare Provider Details

I. General information

NPI: 1447739750
Provider Name (Legal Business Name): KRISTINA MARIE TOUSSAINT MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2018
Last Update Date: 10/13/2022
Certification Date: 04/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

926 16TH ST N
ST PETERSBURG FL
33705-1211
US

IV. Provider business mailing address

230 12TH AVE NE APT 2
ST PETERSBURG FL
33701-1208
US

V. Phone/Fax

Practice location:
  • Phone: 813-816-2742
  • Fax:
Mailing address:
  • Phone: 813-816-2742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberOT20184
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC014249
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code225XE0001X
TaxonomyEnvironmental Modification Occupational Therapist
License NumberOC014249
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code225XE0001X
TaxonomyEnvironmental Modification Occupational Therapist
License NumberOT20184
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License NumberOC014249
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code225XM0800X
TaxonomyMental Health Occupational Therapist
License NumberOT20184
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT20184
License Number StateFL
# 8
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOC014249
License Number StatePA
# 9
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT20184
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: