Provider Demographics
NPI:1386745362
Name:KOTZE, FLORENCE KATHLEEN (OTRIL CHT)
Entity type:Individual
Prefix:MISS
First Name:FLORENCE
Middle Name:KATHLEEN
Last Name:KOTZE
Suffix:
Gender:F
Credentials:OTRIL CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 381
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95763
Mailing Address - Country:US
Mailing Address - Phone:916-761-0629
Mailing Address - Fax:
Practice Address - Street 1:1301 E BIDWELL STREET SUITE 201
Practice Address - Street 2:BURGER REHABILITATION
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630
Practice Address - Country:US
Practice Address - Phone:916-983-5900
Practice Address - Fax:916-983-5913
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT00041262251H1200X
CAOT814225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHand
Not Answered225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand