Provider Demographics
NPI:1679765960
Name:PIPE, NANCY KAY (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:KAY
Last Name:PIPE
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 1:3 BAYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-1301
Mailing Address - Country:US
Mailing Address - Phone:727-422-5463
Mailing Address - Fax:727-592-9109
Practice Address - Street 1:3 BAYWOOD DR
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-1301
Practice Address - Country:US
Practice Address - Phone:727-422-5463
Practice Address - Fax:727-592-9109
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT625225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist