Individual
FARAH DERENONCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8008 NW 106TH AVE, TAMARAC, FL 33321-1120
(754) 252-5731
Mailing address
8008 NW 106TH AVE, TAMARAC, FL 33321-1120
(754) 252-5731
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17524
FL
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
02/25/2022
Last updated
03/07/2022
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