MEDICARE: CHRISTINE REITZ 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
1	225X00000X	Occupational Therapist	2022031784	MO
2	225X00000X	Occupational Therapist	56.015347	IL
3	225X00000X	Occupational Therapist	25195	FL

General Provider Information

NPI Number	:	1790487239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE REITZ OTR/L

Provider Business Mailing Address
First Line	:	3159 CLUB DR
Second Line	:
City	:	MIRAMAR BEACH
State	:	FL
Zip	:	32550-7807
Country	:	US
Telephone Number	:	314-440-4263
Fax Number	:

Provider Business Practice Location Address
First Line	:	179 MACK BAYOU LOOP STE 302
Second Line	:
City	:	SANTA ROSA BEACH
State	:	FL
Zip	:	32459-7210
Country	:	US
Telephone Number	:	850-278-3398
Fax Number	:

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

Provider Enumeration Date	:	03/20/2023
Last Update Date	:	06/26/2025

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