MEDICARE: DEBBIE ONUKWUBE-WILSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT24266	FL

General Provider Information

NPI Number	:	1245699156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBBIE ONUKWUBE-WILSON

Provider Business Mailing Address
First Line	:	7307 N HIGHLAND AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-4061
Country	:	US
Telephone Number	:	501-442-1188
Fax Number	:

Provider Business Practice Location Address
First Line	:	7171 N DALE MABRY HWY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-2665
Country	:	US
Telephone Number	:	501-442-1188
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2016
Last Update Date	:	03/17/2026

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