Organization
AK THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA KOTOLSKI PH.D., OTR/L (OWNER)
(727) 637-6137
Entity
Organization
Contact information
Practice address
2900 W. AZEELE STREET UNIT E, TAMPA, FL 33609
(727) 637-6137
(727) 388-9640
Mailing address
2900 W. AZEELE STREET UNIT E, TAMPA, FL 33609
(727) 637-6137
(727) 388-9640
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004026100
—
FL
01
—
01373846
AMERIGROUP
FL
01
—
294-719
COVENTRY
FL
01
—
357-364
WELLCARE
FL
01
—
4965925
CIGNA
FL
01
—
9437602
AETNA PIN
—
Enumeration date
06/25/2009
Last updated
01/18/2024
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