Individual
MS. PATRICIA KATHRINE ROURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., OTR/L
Contact information
Practice address
501 66TH ST N, ST PETERSBURG, FL 33710-6939
(727) 452-1710
Mailing address
14046 MIRAMAR AVE UNIT A, MADEIRA BEACH, FL 33708-2094
(630) 388-9919
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT17106
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016434200
—
FL
Enumeration date
07/24/2009
Last updated
03/01/2023
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