Provider Demographics
NPI:1699888016
Name:DUSKIN, CHRISTINA MARIE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:MARIE
Last Name:DUSKIN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 NW 76TH TER
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1444
Mailing Address - Country:US
Mailing Address - Phone:954-659-0031
Mailing Address - Fax:954-659-0870
Practice Address - Street 1:55 WESTON RD
Practice Address - Street 2:SUITE 103
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-1169
Practice Address - Country:US
Practice Address - Phone:954-659-0031
Practice Address - Fax:954-659-0870
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 2758225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ012EOtherBCBS PROVIDER# FOR FLA