Healthcare Provider Details

I. General information

NPI: 1497283162
Provider Name (Legal Business Name): IRENE NJAMBI RIMUI OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2017
Last Update Date: 05/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4927 VOORHEES RD
NEW PORT RICHEY FL
34653-5542
US

IV. Provider business mailing address

4927 VOORHEES RD
NEW PORT RICHEY FL
34653-5542
US

V. Phone/Fax

Practice location:
  • Phone: 727-484-3326
  • Fax: 727-849-1721
Mailing address:
  • Phone: 727-848-3578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License NumberOT17809
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: