Healthcare Provider Details

I. General information

NPI: 1578681227
Provider Name (Legal Business Name): JANET MARY READY OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12500 MCMULLEN LOOP #138
RIVERVIEW FL
33569-4736
US

IV. Provider business mailing address

146 RAY POINT RDMAITLAND FORKS (RR1) RR #1
BLOCKHOUSE NOVA SCOTIA
B0J 1E0
CA

V. Phone/Fax

Practice location:
  • Phone: 813-677-6065
  • Fax:
Mailing address:
  • Phone: 902-624-0071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT5901
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: