Provider Demographics
NPI:1356596142
Name:DUTOIT, ADRIANA (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:ADRIANA
Middle Name:
Last Name:DUTOIT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ADRIANA
Other - Middle Name:
Other - Last Name:CONRADIE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:201 W WILD BRIAR RD
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32459
Mailing Address - Country:US
Mailing Address - Phone:850-267-9086
Mailing Address - Fax:850-267-9086
Practice Address - Street 1:201 W WILD BRIAR RD
Practice Address - Street 2:
Practice Address - City:SANTA ROSA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32459
Practice Address - Country:US
Practice Address - Phone:850-267-9086
Practice Address - Fax:850-267-9086
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT5569225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist