Healthcare Provider Details

I. General information

NPI: 1477828929
Provider Name (Legal Business Name): JENNIFER KRISTINE ROIZ-PARTRIDGE MSOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2012
Last Update Date: 03/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 WEST AVE 1411
MIAMI BEACH FL
33139-4759
US

IV. Provider business mailing address

350 S MIAMI AVE 2615
MIAMI FL
33130-1909
US

V. Phone/Fax

Practice location:
  • Phone: 305-778-9198
  • Fax:
Mailing address:
  • Phone: 786-423-3538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT14991
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: