Provider Demographics
NPI:1457986028
Name:HUANG, ANNA (MOT, OTR)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:HUANG
Suffix:
Gender:F
Credentials:MOT, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97549 BLUFF VIEW CIR
Mailing Address - Street 2:
Mailing Address - City:YULEE
Mailing Address - State:FL
Mailing Address - Zip Code:32097-1922
Mailing Address - Country:US
Mailing Address - Phone:904-208-0295
Mailing Address - Fax:
Practice Address - Street 1:97549 BLUFF VIEW CIR
Practice Address - Street 2:
Practice Address - City:YULEE
Practice Address - State:FL
Practice Address - Zip Code:32097-1922
Practice Address - Country:US
Practice Address - Phone:904-208-0295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-04
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist