Individual
JOHN J POQUETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
3891 STIRLING RD, FT LAUDERDALE, FL 33312-6216
(623) 910-8930
Mailing address
3891 STIRLING RD, FT LAUDERDALE, FL 33312-6216
(623) 910-8930
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16132
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0TA-16132
FL OTA LICENCE
FL
Enumeration date
06/25/2020
Last updated
06/25/2020
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