Longnecker, Carmen Maria

Longnecker, Carmen Maria is an individual health care provider with primary practice located at 10218 Millport Dr , Tampa FL 33626-1704. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Longnecker, Carmen Maria can be contacted via phone (813) 778-1368.

Contact Information

Primary practice address
10218 Millport Dr Tampa FL 33626-1704
Phone: (813) 778-1368
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X OT12625 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT12625 Florida

Profile Details

NPI number 1467570648
LBN Legal business name Longnecker, Carmen Maria
Credentials OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Mar 2nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467570648 NPPES
Florida MEDICAID 892038900

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