Healthcare Provider Details

I. General information

NPI: 1841489101
Provider Name (Legal Business Name): JAMES GIOCHE NJUGUNA OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2007
Last Update Date: 10/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6226 SW 80TH ST
OCALA FL
34476-7020
US

IV. Provider business mailing address

6226 SW 80TH ST
OCALA FL
34476-7020
US

V. Phone/Fax

Practice location:
  • Phone: 352-861-1447
  • Fax:
Mailing address:
  • Phone: 352-861-1447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT 7202
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: