MEDICARE: CHRISTINA LOVERA OTR/L, INC.

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	225XP0200X	Pediatric Occupational Therapist	OT12060	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1942504600
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTINA LOVERA OTR/L, INC.

Provider Business Mailing Address
First Line	:	1546 CORBISON POINT PL
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-5304
Country	:	US
Telephone Number	:	561-694-7661
Fax Number	:	561-694-7691

Provider Business Practice Location Address
First Line	:	1278 SW JASMINE TRCE
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-8512
Country	:	US
Telephone Number	:	631-374-6326
Fax Number	:	561-694-7691

Authorized Official
Title or Position	:	OWNER/OCCUPATIONAL THERAPIST
Name	:	MS. CHRISTINA MARIE LOVERA ACEVEDO
Credential	:	OTR/L
Telephone Number	:	631-374-6326

Provider Enumeration Date	:	01/10/2011
Last Update Date	:	04/18/2025

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