Provider Demographics
NPI:1982469979
Name:DOWNING, JOHNNA (OTR/L)
Entity Type:Individual
Prefix:
First Name:JOHNNA
Middle Name:
Last Name:DOWNING
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7930 BAY POINTE DR APT B21
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-5543
Mailing Address - Country:US
Mailing Address - Phone:813-830-8779
Mailing Address - Fax:
Practice Address - Street 1:7930 BAY POINTE DR APT B21
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-5543
Practice Address - Country:US
Practice Address - Phone:813-830-8779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL24991225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist