Mrs. Rosemarie Dutra
Occupational Therapy Assistant
3109 Effingham Dr
Clermont
, Florida 34714-6168
Mrs. Rosemarie Dutra
Occupational Therapy Assistant
3109 Effingham Dr
Clermont
, Florida 34714-6168
(407) 951-0844
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Mrs. Rosemarie Dutra
- 3109 Effingham Dr
- Clermont, FL
- Zip : 34714-6168
- Phone : (407) 951-0844
Second Address
- Mrs. Rosemarie Dutra
- 3109 Effingham Dr
- Clermont, FL
- Zip : 34714-6168
- Phone : (407) 951-0844
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Is Mrs. Rosemarie Dutra a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant |
National Provider Identifier
| NPI | 1003338351 |
|---|---|
| Provider Name | Mrs. Rosemarie Dutra |
| First Address | Clermont, FL 34714-6168 |
| Second Address | Clermont, FL 34714-6168 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2017 |
| Last Update Date | 07/07/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D360737879700 | FL DRIVERS LICENSE (01) | FL |
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.