Provider Demographics
NPI:1184952467
Name:DOYLE, CHRISTINA SUE (OTR/L, LPTA)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:SUE
Last Name:DOYLE
Suffix:
Gender:F
Credentials:OTR/L, LPTA
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:SUE
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2104 E BAY DR
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-2323
Mailing Address - Country:US
Mailing Address - Phone:727-587-0582
Mailing Address - Fax:727-587-0583
Practice Address - Street 1:2104 E BAY DR
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-2323
Practice Address - Country:US
Practice Address - Phone:727-587-0582
Practice Address - Fax:727-587-0583
Is Sole Proprietor?:No
Enumeration Date:2009-11-25
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPTA 21706225200000X
ILOT 13633225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant