MEDICARE: JHANY E MEJIA MS, OTR/L

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	OT 13827	FL

General Provider Information

NPI Number	:	1972895787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JHANY E MEJIA MS, OTR/L

Provider Business Mailing Address
First Line	:	PO BOX 661184
Second Line	:
City	:	MIAMI SPRINGS
State	:	FL
Zip	:	33266-1184
Country	:	US
Telephone Number	:	786-537-8971
Fax Number	:

Provider Business Practice Location Address
First Line	:	5740 NW 38TH ST APT K
Second Line	:
City	:	VIRGINIA GARDENS
State	:	FL
Zip	:	33166-5700
Country	:	US
Telephone Number	:	786-537-8971
Fax Number	:

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

Provider Enumeration Date	:	05/11/2011
Last Update Date	:	05/11/2011

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