MEDICARE: MRS. MARIE CARMEL LEROY-DESIR OTR

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	77950	FL

General Provider Information

NPI Number	:	1700125853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIE CARMEL LEROY-DESIR OTR

Provider Business Mailing Address
First Line	:	6501 CONGRESS AVE STE 300
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33487-2840
Country	:	US
Telephone Number	:	970-988-0984
Fax Number	:	561-409-5529

Provider Business Practice Location Address
First Line	:	6501 CONGRESS AVE STE 300
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33487-2840
Country	:	US
Telephone Number	:	561-409-4490
Fax Number	:	561-409-5529

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

Provider Enumeration Date	:	02/10/2013
Last Update Date	:	02/13/2026

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