Healthcare Provider Details

I. General information

NPI: 1730214024
Provider Name (Legal Business Name): ANNA CHRISTINA WHITE OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 08/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8201 N HIMES AVE
TAMPA FL
33614-2703
US

IV. Provider business mailing address

18503 TURTLE DR
LUTZ FL
33548-4461
US

V. Phone/Fax

Practice location:
  • Phone: 813-935-9355
  • Fax: 813-932-3436
Mailing address:
  • Phone: 813-935-9355
  • Fax: 813-932-3436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT1194
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225XE1200X
TaxonomyErgonomics Occupational Therapist
License NumberOT1194
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOT1194
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: