Individual
SAVANNAH W COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
36430 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1330
(727) 330-0240
Mailing address
3213 MONTROSE CIR, PALM HARBOR, FL 34684-1828
(276) 608-8075
Taxonomy
Speciality
Code
Description
License number
State
225XL0004X
Low Vision Occupational Therapist
OT20099
FL
225XN1300X
Neurorehabilitation Occupational Therapist
312122
LA
225XP0019X
Physical Rehabilitation Occupational Therapist
OT20099
FL
225XP0200X
Pediatric Occupational Therapist
20099
FL
225XP0200X
Pediatric Occupational Therapist
312122
LA
225XP0200X
Pediatric Occupational Therapist
Primary
OT20099
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134675471
DRIVER'S LICENSE
TN
Enumeration date
05/01/2019
Last updated
01/24/2024
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