Individual
JANE PISKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 NW 13TH ST, SUITE 305, BOCA RATON, FL 33486-2335
(561) 750-7633
Mailing address
3368 DEER CREEK ALBA CIR, DEERFIELD BEACH, FL 33442-8428
(954) 570-8362
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT1124
LICENSE #
FL
Enumeration date
08/20/2006
Last updated
07/08/2007
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