MEDICARE: SHARON A KEEFE 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	OT0001313	FL
2	225XH1200X	Hand Occupational Therapist	OT0001313	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Z7433	OTHER	FL	BCBS ID

General Provider Information

NPI Number	:	1790813012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON A KEEFE OTR

Provider Business Mailing Address
First Line	:	PO BOX 694
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33468-0694
Country	:	US
Telephone Number	:	561-736-8380
Fax Number	:	561-752-8528

Provider Business Practice Location Address
First Line	:	3301 W BOYNTON BEACH BLVD
Second Line	:	SUITE #2
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-4642
Country	:	US
Telephone Number	:	561-736-8380
Fax Number	:	561-752-8528

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

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	05/16/2013

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Directions to “ SHARON A KEEFE OTR” Practice Location

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