Provider Demographics
NPI:1245694397
Name:RAZZANO, CHRISTINA (OTR)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:RAZZANO
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:934 N. UNIVERSITY DR. #204
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FLORIDA
Mailing Address - Zip Code:33071
Mailing Address - Country:UM
Mailing Address - Phone:954-755-1911
Mailing Address - Fax:
Practice Address - Street 1:9800 W ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6552
Practice Address - Country:US
Practice Address - Phone:954-755-1911
Practice Address - Fax:954-345-6903
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-05
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT12421225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist