Organization
JAD ESMOND, LLC
Active
Other names
Success For Special Kids
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA MARIE MAREUS OTR (DIRECTOR OF CLINICAL SERVICES)
(954) 865-3705
Entity
Organization
Contact information
Practice address
168 SIMS CREEK LN, JUPITER, FL 33458-7984
(561) 718-9844
(561) 744-8870
Mailing address
6671 W INDIANTOWN RD, SUITE 129, JUPITER, FL 33458-3991
(561) 718-9844
(561) 744-8870
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
OT11518
TN
225X00000X
Occupational Therapist
OT11518
TN
225XE1200X
Ergonomics Occupational Therapist
OT11518
TN
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
OT11518
TN
225XG0600X
Gerontology Occupational Therapist
OT11518
TN
225XH1200X
Hand Occupational Therapist
OT11518
TN
225XL0004X
Low Vision Occupational Therapist
OT11518
TN
225XM0800X
Mental Health Occupational Therapist
OT11518
TN
225XP0200X
Pediatric Occupational Therapist
OT11518
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010042600
—
FL
01
—
1891891297
NPI #
FL
01
—
225X00000X
TAXONOMY CODE
FL
05
—
891985200
—
FL
01
—
OT11518
OT LICENSE #
FL
Enumeration date
03/19/2014
Last updated
04/19/2014
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