Provider Demographics
NPI:1053851501
Name:HELGESON, ANA
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:HELGESON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8706 TORCHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-5329
Mailing Address - Country:US
Mailing Address - Phone:727-432-6356
Mailing Address - Fax:727-789-9204
Practice Address - Street 1:8706 TORCHWOOD DR
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-5329
Practice Address - Country:US
Practice Address - Phone:727-432-6356
Practice Address - Fax:727-789-9204
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-02
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist