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LYMPHEDEMA TREATMENT CENTER LLC NPI 1609045756


NPI Information

NPI: 1609045756
Provider Name: LYMPHEDEMA TREATMENT CENTER LLC
Classification: Occupational Therapist - 225X00000X
Entity Type: Organization
Address:
11512 LAKE MEAD AVE UNIT 604
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 425-4391
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LYMPHEDEMA TREATMENT CENTER LLC is an occupational therapist in Jacksonville, FL. The provider is an occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. LYMPHEDEMA TREATMENT CENTER LLC NPI is 1609045756. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11512 LAKE MEAD AVE UNIT 604
JACKSONVILLE, FL
ZIP 32256-686
Phone: (904) 425-4391
Fax: (904) 425-4392

The provider's authorized official is Rose Marsha Corrales .
The authorized official title is Owner/ Therapist and has the following contact phone number (904) 425-4391.

The enumeration date for this NPI number is 2/22/2008 and was last updated on 2/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225X00000XOccupational TherapistOT12323FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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