Provider Demographics
NPI:1902321631
Name:CHERI FRANTZMAN PEDIATRIC OCCUPATIONAL THERAPIST
Entity Type:Organization
Organization Name:CHERI FRANTZMAN PEDIATRIC OCCUPATIONAL THERAPIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OT
Authorized Official - Prefix:
Authorized Official - First Name:CHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANTZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MOT, OTR/L
Authorized Official - Phone:305-283-4123
Mailing Address - Street 1:14411 S DIXIE HWY STE 210
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33176-7939
Mailing Address - Country:US
Mailing Address - Phone:305-283-4123
Mailing Address - Fax:305-251-7759
Practice Address - Street 1:14411 S DIXIE HWY STE 210
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33176-7939
Practice Address - Country:US
Practice Address - Phone:305-283-4123
Practice Address - Fax:305-251-7759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-03
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT9059261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center