Healthcare Provider Details

I. General information

NPI: 1679663876
Provider Name (Legal Business Name): TAMMI STEIN OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11435 W PALMETTO PARK RD STE J
BOCA RATON FL
33428-2630
US

IV. Provider business mailing address

12793 HYLAND CIR
BOCA RATON FL
33428-4858
US

V. Phone/Fax

Practice location:
  • Phone: 561-702-6141
  • Fax: 561-361-9179
Mailing address:
  • Phone: 561-483-9726
  • Fax: 561-483-2672

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT 3075
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: