Provider Demographics
NPI:1700626306
Name:ABREU, JULIETTE (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:JULIETTE
Middle Name:
Last Name:ABREU
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6191 ORANGE DR STE 6181P
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-3457
Mailing Address - Country:US
Mailing Address - Phone:954-800-4078
Mailing Address - Fax:954-369-1444
Practice Address - Street 1:6191 ORANGE DR STE 6181P
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33314-3457
Practice Address - Country:US
Practice Address - Phone:954-800-4078
Practice Address - Fax:954-369-1444
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT25162225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty