Christine Carraway, PTA

Individual provider Active NPI Physical Therapy Assistant · Okeechobee, FL

NPI 1598076853 · NPPES record last updated Jul 1, 2010

Key facts

NPI
1598076853
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
21350 (FL)
Practice address
1926 Highway 441 N
Okeechobee, FL 34972-1922
Phone
(863) 467-6659
Fax
(863) 763-5603
NPI assigned
Jul 1, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
21350FLMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 21350 FL Yes

Addresses

Primary practice location

1926 Highway 441 N
Okeechobee, FL 34972-1922

Mailing address

1796 Highway 441 N
P.O. Box 1307
Okeechobee, FL 34972-1918
Phone (863) 467-6659

Other providers in Okeechobee, FL

All providers in Okeechobee, FL · Physical Therapy Assistant in Florida

Sources for this page

Verify at the official NPI Registry.