Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA JAQUEZ
Deactivated Sole ProprietorAMANDA JAQUEZ is a Occupational Therapist healthcare provider located in TITUSVILLE, Florida. NPI 1861926974 is deactivated in the NPPES registry. Verify at CMS.
Occupational Therapist · TITUSVILLE, FL
This NPI has been deactivated.
The record was deactivated on March 15, 2018.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1861926974
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 14, 2017 (0.91780821917808 yrs)
- Last Updated
- Feb 1, 2023
- Deactivated
- Mar 15, 2018
- License
-
OT18399 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5045 VOLUSIA AVETITUSVILLE, FL, 327806829Browse FL providers · Browse ZIP 32780
- Phone
- 4845777291
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in TITUSVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| CARISSA BROWN | — | 1033224332 |
| MS. LISA L. FILLION | — | 1962573071 |
| MS. SUSAN E COOL | OTR | 1588713481 |
| MRS. LINDSAY JORDAN ELSTON | OTR/L, CLT | 1518128404 |
| CHRISTIE CASTILLO WATSON | OTR/L | 1124259528 |
| LISA SUZANNE ROBERSON | OTR/L | 1356659643 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.