Provider Demographics
NPI:1508022708
Name:SEGUERRA, YVONNE FERNANDEZ (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:FERNANDEZ
Last Name:SEGUERRA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6151 PIEDMONT DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-3823
Mailing Address - Country:US
Mailing Address - Phone:239-848-0975
Mailing Address - Fax:
Practice Address - Street 1:6151 PIEDMONT DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-3823
Practice Address - Country:US
Practice Address - Phone:239-848-0975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 13078225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist