Healthcare Provider Details

I. General information

NPI: 1245039718
Provider Name (Legal Business Name): SONIKA TAINA SAINVILIEN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 03/10/2025
Certification Date: 03/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10075 S JOG RD STE 201
BOYNTON BEACH FL
33437-3536
US

IV. Provider business mailing address

320 ASBURY WAY
BOYNTON BEACH FL
33426-5534
US

V. Phone/Fax

Practice location:
  • Phone: 561-733-1012
  • Fax:
Mailing address:
  • Phone: 561-633-1650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License NumberOT26026
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT26026
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberOT26026
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License NumberOT26026
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: