Healthcare Provider Details

I. General information

NPI: 1629831730
Provider Name (Legal Business Name): FRANCES E JARSEN OTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2024
Last Update Date: 02/01/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 NW CORPORATE BLVD STE 110
BOCA RATON FL
33431-8554
US

IV. Provider business mailing address

10359 BOYNTON PLACE CIR
BOYNTON BEACH FL
33437-2660
US

V. Phone/Fax

Practice location:
  • Phone: 954-869-7202
  • Fax:
Mailing address:
  • Phone: 407-963-0207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number19678
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: