Provider Demographics
NPI:1902030448
Name:MACALUSO, CHRISTINE JOY (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:JOY
Last Name:MACALUSO
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:881 NW 126TH AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-4401
Mailing Address - Country:US
Mailing Address - Phone:954-829-3845
Mailing Address - Fax:
Practice Address - Street 1:881 NW 126TH AVE
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-4401
Practice Address - Country:US
Practice Address - Phone:954-829-3845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8669224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant