Provider Demographics
NPI:1427593474
Name:BOCHENSKI, ISABEL (MSOT)
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:
Last Name:BOCHENSKI
Suffix:
Gender:F
Credentials:MSOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4939 FLORAMAR TER APT 411
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-3307
Mailing Address - Country:US
Mailing Address - Phone:727-534-2050
Mailing Address - Fax:
Practice Address - Street 1:4939 FLORAMAR TER APT 411
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-3307
Practice Address - Country:US
Practice Address - Phone:727-534-2050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-29
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV160797225X00000X
FLOT18114225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist