Healthcare Provider Details
I. General information
NPI: 1316352859
Provider Name (Legal Business Name): NECHAMA TURK OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/23/2014
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16750 NE 10TH AVE APT 206
NORTH MIAMI BEACH FL
33162-2669
US
IV. Provider business mailing address
16750 NE 10TH AVE APT 206
NORTH MIAMI BEACH FL
33162-2669
US
V. Phone/Fax
- Phone: 305-336-5381
- Fax:
- Phone: 305-336-5381
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XP0200X |
| Taxonomy | Pediatric Occupational Therapist |
| License Number | 018900 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | 018900 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: