Individual
JOSIANE PHANORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7100 W COMMERCIAL BLVD, LAUDERHILL, FL 33319-2155
(754) 206-2953
Mailing address
3941 NW 45TH WAY, LAUDERDALE LAKES, FL 33319-4729
(175) 442-2147
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15230
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P563-420-85-548-0
—
FL
Enumeration date
10/06/2021
Last updated
10/06/2021
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