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General NPI Number Information
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NPI Number | 1942504600
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Entity Type | Organization
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Legal Business Name | CHRISTINA LOVERA OTR/L, INC.
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 1278 SW JASMINE TRCE
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City | PALM CITY
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State | FL
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Zip | 34990-8512
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Country | US
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Telephone | 631-374-6326
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Fax | 561-694-7691
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Provider Business Mailing Address
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Address Line | 1546 CORBISON POINT PL
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City | JUPITER
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State | FL
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Zip | 33458-5304
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Country | US
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Telephone | 561-694-7661
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Fax | 561-694-7691
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Authorized Official
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Title or Position | OWNER/OCCUPATIONAL THERAPIST
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Name | MS. CHRISTINA MARIE LOVERA ACEVEDO
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Credential | OTR/L
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Telephone | 631-374-6326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT12060
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License Number State | FL
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