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NPI Code Detail

MEDICARE: JENILEE MARIE DUARTE OTR/L

MEDICARE: JENILEE MARIE DUARTE OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT19994FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073076618
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENILEE MARIE DUARTE OTR/L
Provider Business Mailing Address
First Line : 180 NE 29TH ST APT 905
Second Line :
City : MIAMI
State : FL
Zip : 33137-5236
Country : US
Telephone Number : 786-202-8366
Fax Number :
Provider Business Practice Location Address
First Line : 1501 NW 29TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33142-6623
Country : US
Telephone Number : 305-599-3021
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2019
Last Update Date : 03/27/2024

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Directions to “ JENILEE MARIE DUARTE OTR/L” Practice Location

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