Healthcare Provider Details

I. General information

NPI: 1619069903
Provider Name (Legal Business Name): VIVIANA RABII OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1461 SORRENTO DR
WESTON FL
33326-4513
US

IV. Provider business mailing address

1461 SORRENTO DR
WESTON FL
33326-4513
US

V. Phone/Fax

Practice location:
  • Phone: 954-554-3258
  • Fax: 954-659-8329
Mailing address:
  • Phone: 954-554-3258
  • Fax: 954-659-8329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT 11341
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: