Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT 13224 | FL |
N | 225XE0001X | Environmental Modification | ||
N | 2251E1200X | Ergonomics | ||
N | 225XE1200X | Ergonomics | ||
N | 225XG0600X | Occupational Therapist - Gerontology | ||
N | 2251H1300X | Human Factors | ||
N | 225XH1300X | Human Factors | ||
N | 225XL0004X | Low Vision | ||
N | 225XM0800X | Mental Health | ||
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation |
NPI | 1932644218 |
---|---|
Provider Name | Jennifer Trevino |
First Address | Wesley Chapel, FL 33543-6860 |
Second Address | Wesley Chapel, FL 33543-6860 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2016 |
Last Update Date | 07/10/2021 |