Provider Demographics
NPI:1417752858
Name:SOTOMAYOR ESPINOSA, ANA KARINA (OTA 16787)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:KARINA
Last Name:SOTOMAYOR ESPINOSA
Suffix:
Gender:
Credentials:OTA 16787
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4063 COLLE DR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-1701
Mailing Address - Country:US
Mailing Address - Phone:561-876-3876
Mailing Address - Fax:
Practice Address - Street 1:4063 COLLE DR
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-1701
Practice Address - Country:US
Practice Address - Phone:561-876-3876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16787224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty