Healthcare Provider Details

I. General information

NPI: 1598093379
Provider Name (Legal Business Name): THARON SUE MCGINNIS COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS THARON SUE WRIGHT

II. Dates (important events)

Enumeration Date: 12/06/2009
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13000 BRUCE B DOWNS BLVD
TAMPA FL
33612-4745
US

IV. Provider business mailing address

10131 HEATHER SOUND DR
TAMPA FL
33647-2901
US

V. Phone/Fax

Practice location:
  • Phone: 813-972-2000
  • Fax: 813-783-3674
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA 10380
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: