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NPI Code Detail

MEDICARE: SUZANNE ELISE DEFRANK OTA

MEDICARE: SUZANNE ELISE DEFRANK OTA
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
1224Z00000XOccupational Therapy AssistantOTA11031FL

General Provider Information

NPI Number : 1497082457
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE ELISE DEFRANK OTA
Provider Business Mailing Address
First Line : 530 NE 47TH ST APT 202
Second Line :
City : BOCA RATON
State : FL
Zip : 33431-5149
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 OAKWOOD BLVD STE 130
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-1937
Country : US
Telephone Number : 954-925-3844
Fax Number : 954-925-3845
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2009
Last Update Date : 11/12/2009

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Directions to “ SUZANNE ELISE DEFRANK OTA” Practice Location

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