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VICKI LYNN AUNSPAUGH OTR/L, CHT
>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1659385961
Individual Registrant: VICKI LYNN AUNSPAUGH OTR/L, CHT
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
3635 S CLYDE MORRIS BLVD ST. 300 PORT ORANGE, FL 32129-2300 US
Tel: 386-258-8080 Fax: 386-258-8177
Tel: 386-258-8080 Fax: 386-258-8177
Contact information for business:
3635 S CLYDE MORRIS BLVD ST. 300 PORT ORANGE, FL 32129-2300 US
Tel: 386-258-8080 Fax: 386-258-8177
Tel: 386-258-8080 Fax: 386-258-8177
Registration Information:
NPI: 1659385961
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | FL | OT1113 |
| N | 225XH1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | FL | OT1113 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| RAILROAD MEDICARE | 670000721 | FL | 01 |
| 880190800 | FL | 05 | |
| BLUE CROSS BLUE SHIELD FL | Z2238 | FL | 01 |
