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NPI Code Detail

MEDICARE: ELIZABETH TOWNSEND OTA/L

MEDICARE: ELIZABETH TOWNSEND OTA/L
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
1224Z00000XOccupational Therapy Assistant14909FL

General Provider Information

NPI Number : 1740646090
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH TOWNSEND OTA/L
Provider Business Mailing Address
First Line : 1460 APOLLO LN
Second Line :
City : SPRING HILL
State : FL
Zip : 34608-5210
Country : US
Telephone Number : 352-650-1109
Fax Number :
Provider Business Practice Location Address
First Line : 8132 HUDSON AVE
Second Line :
City : HUDSON
State : FL
Zip : 34667-8571
Country : US
Telephone Number : 727-863-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2015
Last Update Date : 01/02/2016

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Directions to “ ELIZABETH TOWNSEND OTA/L” Practice Location

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