Healthcare Provider Details

I. General information

NPI: 1710639422
Provider Name (Legal Business Name): ANGELINA ELISE TRENCHE OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2022
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date: 06/12/2025
Reactivation Date: 09/09/2026

III. Provider practice location address

5589 OKEECHOBEE BLVD FL 33417
WEST PALM BEACH FL
33417-4486
US

IV. Provider business mailing address

5589 OKEECHOBEE BLVD
WEST PALM BEACH FL
33417-4486
US

V. Phone/Fax

Practice location:
  • Phone: 561-376-2573
  • Fax: 954-577-7780
Mailing address:
  • Phone: 561-376-2573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number27428
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: