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NPI Code Detail

MEDICARE: I CARE THERAPY LLC

MEDICARE: I CARE THERAPY LLC
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 Therapist

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 : 1841960895
Entity Type Code : Organization
Provider Name (Legal Business Name) : I CARE THERAPY LLC
Provider Business Mailing Address
First Line : 596 US HIGHWAY 27 N
Second Line :
City : AVON PARK
State : FL
Zip : 33825-2958
Country : US
Telephone Number : 863-238-6320
Fax Number :
Provider Business Practice Location Address
First Line : 596 US HIGHWAY 27 N
Second Line :
City : AVON PARK
State : FL
Zip : 33825-2958
Country : US
Telephone Number : 863-238-6320
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JACALYN GRIFFIN
Credential : OTR/L
Telephone Number : 580-471-0465
Provider Enumeration Date : 09/20/2021
Last Update Date : 09/20/2021

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Directions to “I CARE THERAPY LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.