Healthcare Provider Details

I. General information

NPI: 1841867611
Provider Name (Legal Business Name): JULIETTE LEONARDO WARREN MSOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2021
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 33250
PENSACOLA FL
32508-3250
US

IV. Provider business mailing address

PO BOX 33250
PENSACOLA FL
32508-3250
US

V. Phone/Fax

Practice location:
  • Phone: 850-935-5132
  • Fax:
Mailing address:
  • Phone: 850-935-5132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT27396
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0119009051
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: