Healthcare Provider Details

I. General information

NPI: 1942907753
Provider Name (Legal Business Name): SAUMYA MALKANI OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2023
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12545 ORANGE DR FL 33330
DAVIE FL
33330-4306
US

IV. Provider business mailing address

19476 N COQUINA WAY
WESTON FL
33332-2419
US

V. Phone/Fax

Practice location:
  • Phone: 954-474-8048
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number23917
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: