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NPI Code Detail

MEDICARE: SAKHEENA RENNIE OTR/L

MEDICARE: SAKHEENA RENNIE 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 TherapistOT18642FL

Other Identifiers

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

General Provider Information

NPI Number : 1194319103
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAKHEENA RENNIE OTR/L
Provider Business Mailing Address
First Line : 1260 NW 78TH TER
Second Line :
City : PLANTATION
State : FL
Zip : 33322-4731
Country : US
Telephone Number : 954-605-5791
Fax Number :
Provider Business Practice Location Address
First Line : 2701 N COURSE DR
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33069-3058
Country : US
Telephone Number : 954-975-8900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2021
Last Update Date : 02/22/2021

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