Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALIA J WANTUCH, PTA
ActiveALIA J WANTUCH, PTA is a Occupational Therapist healthcare provider located in PORT ORANGE, Florida. NPI 1164026902 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · PORT ORANGE, FL
Registration Details
- NPI Number
- 1164026902
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 23, 2020 (5.5358202769339 yrs)
- Last Updated
- Nov 23, 2020
- License
-
PTA30714 (FL)
Practice Information
- Address
-
4606 CLYDE MORRIS BLVD STE 1DPORT ORANGE, FL, 321297453Browse FL providers · Browse ZIP 32129
- Phone
- 3864922986
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in PORT ORANGE, FL
| Name | Credential | NPI |
|---|---|---|
| MARK KOLB | PTA | 1780723510 |
| MISS STACI CATHY-SUE ROBERTS | PTA | 1205057858 |
| MS. MEGHAN J TRAVERSE | PTA | 1407058506 |
| ERIC W HARTING | PTA | 1811192636 |
| THERESA L HYATT | PTA | 1295916096 |
| ROBIN P EDSON | PTA | 1720260292 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.