MEDICARE: SOUTH FLORIDA OCCUPATIONAL THERAPY

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

General Provider Information

NPI Number	:	1710656905
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH FLORIDA OCCUPATIONAL THERAPY

Provider Business Mailing Address
First Line	:	2841 N OCEAN BLVD APT 1208
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-7571
Country	:	US
Telephone Number	:	954-871-7875
Fax Number	:

Provider Business Practice Location Address
First Line	:	2841 N OCEAN BLVD APT 1208
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-7571
Country	:	US
Telephone Number	:	954-871-7875
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPY
Name	:	AMANDA MESSINGSCHLAGER
Credential	:	OTR/L
Telephone Number	:	954-871-7875

Provider Enumeration Date	:	09/10/2021
Last Update Date	:	09/10/2021

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Directions to “SOUTH FLORIDA OCCUPATIONAL THERAPY ” Practice Location

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