Provider Demographics
NPI:1992910178
Name:CHRISTMAN, ELEANOR LUCY (OTR, CHT)
Entity type:Individual
Prefix:MS
First Name:ELEANOR
Middle Name:LUCY
Last Name:CHRISTMAN
Suffix:
Gender:F
Credentials:OTR, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 GOLFVIEW DR
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-5925
Mailing Address - Country:US
Mailing Address - Phone:386-255-6966
Mailing Address - Fax:
Practice Address - Street 1:401 VENTURE DR
Practice Address - Street 2:SUITE C
Practice Address - City:SOUTH DAYTONA
Practice Address - State:FL
Practice Address - Zip Code:32119-3478
Practice Address - Country:US
Practice Address - Phone:386-763-0084
Practice Address - Fax:386-763-0084
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT9182225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand