Healthcare Provider Details

I. General information

NPI: 1487471231
Provider Name (Legal Business Name): IVANA ALEXANDRA FRAMPTON MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2024
Last Update Date: 09/23/2024
Certification Date: 09/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8929 R G SKINNER PKWY
JACKSONVILLE FL
32256-9724
US

IV. Provider business mailing address

2592 SPRING LAKE RD W
JACKSONVILLE FL
32210-3457
US

V. Phone/Fax

Practice location:
  • Phone: 904-513-6990
  • Fax:
Mailing address:
  • Phone: 904-451-9690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License NumberOT24216
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: