Individual
PHARRAH N JEAN-LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA,COTA/L
Contact information
Practice address
2261 SW PLYMOUTH ST, PORT SAINT LUCIE, FL 34953-2380
(772) 626-6903
Mailing address
2216 CONWAY CIR, SUMMERVILLE, SC 29486-8111
(772) 626-6903
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19469
FL
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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