NPI 1407399157

Jesus Quiceno

Practitioner Occupational Therapy Assistant Weston, FL

Practice location

Address: 2233 N Commerce Pkwy STE 1, Weston, FL 33326-3252
Phone: (954) 356-2878

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA13974 (FL)

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Registry record

NPI: 1407399157
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Nov 2016
Record last updated: 29 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.