Mr. Steven J Jellum
Occupational Therapist Occupational Therapist - Physical Rehabilitation
4247 Wordsworth Way
Venice
, Florida 34293-5243
Mr. Steven J Jellum
Occupational Therapist Occupational Therapist - Physical Rehabilitation
4247 Wordsworth Way
Venice
, Florida 34293-5243
(808) 227-5810
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Mr. Steven J Jellum
- 4247 Wordsworth Way
- Venice, FL
- Zip : 34293-5243
- Phone : (808) 227-5810
Second Address
- Mr. Steven J Jellum
- 4247 Wordsworth Way
- Venice, FL
- Zip : 34293-5243
- Phone : (808) 227-5810
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 30813 | OR |
| N | 225X00000X | Occupational Therapist | 76 | HI |
| Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT 12844 | FL |
National Provider Identifier
| NPI | 1023239472 |
|---|---|
| Provider Name | Mr. Steven J Jellum |
| First Address | Venice, FL 34293-5243 |
| Second Address | Venice, FL 34293-5243 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2007 |
| Last Update Date | 21/06/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.