Provider Demographics
NPI:1528106465
Name:SANTOYO, ANN MARIE (OTR)
Entity type:Individual
Prefix:MS
First Name:ANN MARIE
Middle Name:
Last Name:SANTOYO
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11914 NORTHUMBERLAND DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-1326
Mailing Address - Country:US
Mailing Address - Phone:505-385-0116
Mailing Address - Fax:
Practice Address - Street 1:11914 NORTHUMBERLAND DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-1326
Practice Address - Country:US
Practice Address - Phone:505-385-0116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL17173225X00000X
TX2312225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist