Triple E OT Inc

Pediatric Occupational Therapist · Crestview, FL

Organization Active NPI

NPI number 1710271374

Practice location

4100 S Ferdon Blvd
Suite C1
Crestview, FL 32536-5252
Phone
(850) 682-8388
Fax
(850) 682-7463

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NPI record

NPI
1710271374
Entity type
Organization (Type 2)
Enumeration date
June 1, 2011
Last updated
June 1, 2011
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Occupational Therapist Primary 225XP0200X OT5156 FL

Mailing address

450 Lakeview Dr
Defuniak Springs, FL 32433-4058
Phone
(850) 401-1227
Fax
(850) 682-7463

Authorized official

Name
Mrs. Kim Evelyn Hydle, OTR/L
Title
Occupational Therapist
Phone
(850) 401-1227

About Triple E OT Inc

Triple E OT Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatric Occupational Therapist (code 225XP0200X). The practice location is 4100 S Ferdon Blvd, Suite C1, Crestview, FL 32536-5252. The NPI number 1710271374 was assigned on June 1, 2011 and the record was last updated on June 1, 2011.

Triple E OT Inc lists a license in the registry: #OT5156 (FL) for Pediatric Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mrs. Kim Evelyn Hydle, OTR/L, Occupational Therapist.

Frequently asked questions

What is the NPI number of Triple E OT Inc?

The NPI number is 1710271374.

What is the phone number of Triple E OT Inc?

The phone number listed for the practice location is (850) 682-8388.

Where is Triple E OT Inc located?

4100 S Ferdon Blvd, Suite C1, Crestview, FL 32536-5252.

What is the taxonomy code for Triple E OT Inc?

The primary taxonomy code is 225XP0200X – Pediatric Occupational Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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