Provider Demographics
NPI:1801073747
Name:DEWITT, HELEN E (HELEN DEWITT)
Entity type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:E
Last Name:DEWITT
Suffix:
Gender:F
Credentials:HELEN DEWITT
Other - Prefix:MISS
Other - First Name:HELEN
Other - Middle Name:E
Other - Last Name:NOEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HELEN DEWITT, PTA
Mailing Address - Street 1:8129 HAZELNUT CT
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34654-5626
Mailing Address - Country:US
Mailing Address - Phone:727-841-0706
Mailing Address - Fax:
Practice Address - Street 1:7227 LAND O LAKES BLVD
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-2826
Practice Address - Country:US
Practice Address - Phone:727-774-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-23
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA 19924225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant