Provider Demographics
NPI:1831525625
Name:STYLES, MARIE ELIZABETH (OT/L)
Entity type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:ELIZABETH
Last Name:STYLES
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 QUAYSIDE CIR
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-5788
Mailing Address - Country:US
Mailing Address - Phone:407-252-4651
Mailing Address - Fax:
Practice Address - Street 1:206 QUAYSIDE CIR
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-5788
Practice Address - Country:US
Practice Address - Phone:407-252-4651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT6952225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics