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NPI Code Detail

MEDICARE: KRISTEN BURZYNSKI PENNA RPT, OTR/L

MEDICARE: KRISTEN BURZYNSKI PENNA RPT, OTR/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
1225100000XPhysical TherapistPT20455FL
2225X00000XOccupational TherapistOT10313FL

General Provider Information

NPI Number : 1760320451
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN BURZYNSKI PENNA RPT, OTR/L
Provider Business Mailing Address
First Line : 930 COLLEGE HILL DR
Second Line :
City : CLEARWATER
State : FL
Zip : 33765-2312
Country : US
Telephone Number : 727-215-3701
Fax Number :
Provider Business Practice Location Address
First Line : 2960 TAMPA RD
Second Line :
City : PALM HARBOR
State : FL
Zip : 34684-3340
Country : US
Telephone Number : 727-286-3999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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