Jennie Desravines in Miami - Occupational Therapist
Jennie Desravines - NPI 1790807857
Jennie Desravines is a Occupational Therapist in Miami, Florida. Jennie Desravines practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Jennie Desravines is 1790807857. The last update date is 2007-07-09.
Jennie Desravines's current location address is 4284 Sw 161st Pl, Miami, Florida. You can contact this provider via phone number 7862082814 and fax number 3052286251. The mailing address for Jennie Desravines is 4284 Sw 161st Pl, Miami, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennie Desravines |
|---|---|
| Address | 4284 Sw 161st Pl, Miami, Florida |
| Phone Number | 7862082814 |
| Fax Number | 3052286251 |
| Sole Proprietor | Y |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1790807857 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 4284 Sw 161st Pl |
|---|---|
| City | Miami |
| State | Florida (FL) |
| Post Code | 331853826 |
| Phone Number | 7862082814 |
| Fax Number | 3052286251 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OT 11023 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 891607100 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jennie Desravines by the Centers for Medicare & Medicaid Services?
The Jennie Desravines has been assigned the NPI (National Provider Identifier) 1790807857 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Jennie Desravines located?
The Jennie Desravines is located at 4284 Sw 161St Pl, Miami, FL 331853826.
What is Jennie Desravines's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jennie Desravines is Occupational Therapist, and the corresponding taxonomy classification code for this specialized field is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1790807857 to Jennie Desravines?
The Centers for Medicare & Medicaid Services assigned the 1790807857 to Jennie Desravines on 2007-04-06.
When was the information regarding Jennie Desravines most recently updated?
The details pertaining to the Jennie Desravines, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.