Individual
KATIE CONSTANTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3502 SW 6TH TER, CAPE CORAL, FL 33991-1607
(239) 699-1035
Mailing address
3502 SW 6TH TER, CAPE CORAL, FL 33991-1607
(239) 699-1035
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
15657
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
806032791
TEAMCARE
FL
Enumeration date
01/31/2017
Last updated
01/31/2017
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