Healthcare Provider Details

I. General information

NPI: 1407959323
Provider Name (Legal Business Name): DEBORAH J AUSTIN OTR CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 09/04/2020
Certification Date: 09/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2061 NW 2ND AVE SUITE 106
BOCA RATON FL
33431-6652
US

IV. Provider business mailing address

2061 NW 2ND AVE SUITE 106
BOCA RATON FL
33431-6652
US

V. Phone/Fax

Practice location:
  • Phone: 561-362-8757
  • Fax: 561-362-8949
Mailing address:
  • Phone: 561-362-8757
  • Fax: 561-362-8949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT1444
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOT1444
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberOT1444
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: