MEDICARE: MS. BRIANA NICOLE PIERRE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	21088	FL

General Provider Information

NPI Number	:	1114538550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BRIANA NICOLE PIERRE

Provider Business Mailing Address
First Line	:	1700 WOODBURY RD APT 1104
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-6017
Country	:	US
Telephone Number	:	504-723-4993
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 WOODBURY RD APT 1104
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-6017
Country	:	US
Telephone Number	:	504-723-4993
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2020
Last Update Date	:	08/10/2020

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