Provider Demographics
NPI:1255174454
Name:LOXHA, KRENAE (OTR/L)
Entity type:Individual
Prefix:
First Name:KRENAE
Middle Name:
Last Name:LOXHA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:KRENARE
Other - Middle Name:
Other - Last Name:CASTRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7500 DANBURY WAY
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-7046
Mailing Address - Country:US
Mailing Address - Phone:617-610-8346
Mailing Address - Fax:
Practice Address - Street 1:549 SKY HARBOR DR BLDG 31
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33759-3930
Practice Address - Country:US
Practice Address - Phone:727-724-6800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-15
Last Update Date:2024-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT23195225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty