MEDICARE: MRS. RAYYA IBRAHIM-MUZAFFARR OTR/L

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	OT 14383	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154627057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RAYYA IBRAHIM-MUZAFFARR OTR/L

Provider Business Mailing Address
First Line	:	13417 SW 144TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-7671
Country	:	US
Telephone Number	:	305-278-2113
Fax Number	:

Provider Business Practice Location Address
First Line	:	15924 SW 92ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33157-1842
Country	:	US
Telephone Number	:	305-971-1230
Fax Number	:	305-971-3095

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

Provider Enumeration Date	:	02/10/2011
Last Update Date	:	02/10/2011

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