Tana Andrews
Individual provider Active NPI Occupational Therapist · Fort White, FL
NPI 1679624852 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679624852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT8717 (FL)
- Practice address
- 497 SW Durant St
Fort White, FL 32038-3446 - Phone
- (386) 208-2959
- NPI assigned
- Jan 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT8717 | FL | Yes |
Addresses
Primary practice location
497 SW Durant St
Fort White, FL 32038-3446
Mailing address
497 SW Durant St
Fort White, FL 32038-3446
Phone (386) 208-2959
Other providers in Fort White, FL
- Andrea H. Alfonzo
- Joanna M Bagg
- Cathi N Brown
- Care Station, LLC
- Caring Wheels Transportation LLC
- Sarah Louise Clark
All providers in Fort White, FL · Occupational Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.