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NPI Code Detail

MEDICARE: DEBORAH L SMITH OT

MEDICARE: DEBORAH L SMITH OT
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
1225X00000XOccupational TherapistOT617FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750569281
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH L SMITH OT
Provider Business Mailing Address
First Line : 2045 MISTY SUNRISE TRL
Second Line :
City : SARASOTA
State : FL
Zip : 34240-9686
Country : US
Telephone Number : 941-376-1898
Fax Number : 941-343-9402
Provider Business Practice Location Address
First Line : 5968 CLARK CENTER AVE
Second Line :
City : SARASOTA
State : FL
Zip : 34238-2715
Country : US
Telephone Number : 941-922-8200
Fax Number : 941-343-9402
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2008
Last Update Date : 12/22/2014

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