Provider Demographics
NPI:1245237940
Name:TINSLEY, CATHERINE E (MOT, OT, CHT)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:E
Last Name:TINSLEY
Suffix:
Gender:F
Credentials:MOT, OT, CHT
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:E
Other - Last Name:TILLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOT, OT, CHT
Mailing Address - Street 1:2685 SW 32ND PL STE 400
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-7866
Mailing Address - Country:US
Mailing Address - Phone:352-624-0004
Mailing Address - Fax:352-624-3090
Practice Address - Street 1:2685 SW 32ND PL STE 400
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-7866
Practice Address - Country:US
Practice Address - Phone:352-624-0004
Practice Address - Fax:352-624-3090
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT8468225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DF7751OtherMEDICARE RAILROAD
FL887665700Medicaid
FL887665700Medicaid
FL5844920001Medicare NSC