Basic Information
| Provider Information | |||||||||
| NPI: | 1891891321 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CASTRO | ||||||||
| FirstName: | ELIZABETH | ||||||||
| MiddleName: | RONEY | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | OTR/L, CHT, CLT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 700 S HARBOUR ISLAND BLVD | ||||||||
| Address2: | #442 | ||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 336025712 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8132214760 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 508 S HABANA AVE | ||||||||
| Address2: | #140 | ||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 336094181 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8138777200 | ||||||||
| FaxNumber: | 8138777205 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/15/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225XH1200X | OT 11348 | FL | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Hand |
No ID Information.