Provider Demographics
NPI:1255505988
Name:SEXTON, TONI (COTA)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:
Last Name:SEXTON
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 37TH AVE N
Mailing Address - Street 2:SUITE A
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-1509
Mailing Address - Country:US
Mailing Address - Phone:727-328-0599
Mailing Address - Fax:727-328-2071
Practice Address - Street 1:3101 37TH AVE N
Practice Address - Street 2:SUITE A
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-1509
Practice Address - Country:US
Practice Address - Phone:727-328-0599
Practice Address - Fax:727-328-2071
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA4643224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant