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NPI Code Detail

MEDICARE: JENNIFER CARMEL NORONA SOTTO OTR/L

MEDICARE:   JENNIFER CARMEL NORONA SOTTO  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
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1174917892
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER CARMEL NORONA SOTTO OTR/L
Provider Business Mailing Address
First Line : 5800 W SAMPLE RD
Second Line : APT 206
City : CORAL SPRINGS
State : FL
Zip : 33067-3234
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1359 E SAMPLE RD
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33064-6278
Country : US
Telephone Number : 954-785-8252
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2015
Last Update Date : 04/15/2015

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Directions to “ JENNIFER CARMEL NORONA SOTTO OTR/L” Practice Location

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