Provider Demographics
NPI:1760447213
Name:OSTEEN, DONNA FRANCES
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:FRANCES
Last Name:OSTEEN
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 1:8436 SW 45TH COURT
Mailing Address - Street 2:
Mailing Address - City:LAKE BUTLER
Mailing Address - State:FL
Mailing Address - Zip Code:32054
Mailing Address - Country:US
Mailing Address - Phone:386-719-7372
Mailing Address - Fax:
Practice Address - Street 1:176 SW MIDTOWN PL
Practice Address - Street 2:STE 103
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32025
Practice Address - Country:US
Practice Address - Phone:386-754-9221
Practice Address - Fax:386-754-9530
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA8880224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant