Carol E Tietz Pa

NPI 1073654539 - Occupational Therapist - 225XP0200X

NPI Details
NPI 1073654539
Enumeration Date 02/09/2007
Last Updated 04/29/2009
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name CAROL E CAROL
Position OWNER
Phone (727) 375-0600
Fax (727) 375-1117
Practice Location
8050 OLD CR 54
NEW PORT RICHEY FL, 34653-6457, US
Phone (727) 375-0600
Fax (727) 375-1117
Business Location
8050 OLD CR 54
NEW PORT RICHEY FL, 34653-6457, US
Phone (727) 375-0600
Fax (727) 375-1117
Toxanomy
Taxonomy Code 225XP0200X
License State Florida
License Number OT1010
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According to our database, Carol E Tietz Pa NPI is 1073654539, taxonomy code is 225XP0200X and license number is OT1010, license state is located at Florida. Carol E Tietz Pa physically located at 8050 Old Cr 54, New Port Richey FL, 34653-6457. NPI Number 1033115704 has the healthcare provider type.

1073654539 NPI number is provided on an as is basis without warranty of any kind. 1073654539 is maintained by the National Plan & Provider Enumeration System. The contents of Carol E Tietz Pa are for informational purposes only.