Vinita Agaberg
Individual provider Active NPI Occupational Therapist · Debary, FL
NPI 1760509715 · NPPES record last updated Sep 10, 2019
Key facts
- NPI
- 1760509715
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT4854 (FL)
- Practice address
- 223 Bunker CT
Debary, FL 32713-2251 - Phone
- (386) 871-0339
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5118 | AL | MD | Occupational Therapist |
| OT4854 | FL | MD | Occupational Therapist |
| OT-610 | HI | MD | Occupational Therapist |
| 991480 | OR | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 991480 | OR | |
| Occupational Therapist | 225X00000X | OT-610 | HI | |
| Occupational Therapist | 225X00000X | 5118 | AL | |
| Occupational Therapist | 225X00000X | OT4854 | FL | Yes |
Addresses
Primary practice location
223 Bunker CT
Debary, FL 32713-2251
Mailing address
223 Bunker CT
Debary, FL 32713-2251
Phone (386) 871-0339
Other providers in Debary, FL
- Advance Bariatric Counseling
- Advanced Family Care Inc
- Advanced Scripts LLC
- Advantacare Multi-Specialty Group, LLC
- Advantacare of Florida LLC
- Maria Jose Aguerre de Sosa
- Ruth Alcantara-Zboinski
- Osayande Aliu
- Abdullah Aljabban
- All Care Chiropractic & Wellness Center
All providers in Debary, FL · Occupational Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.