Mrs Jennifer Licata, OT is a
Developmental Therapist based in West Palm Beach, Florida. Mrs Jennifer Licata is licensed to practice in Florida (license number OT10827) and her current practice location is
6242 Hammock Park Rd, West Palm Beach, Florida. She can be reached at her office (for appointments etc.) via phone at
(561) 640-2920.
NPI number for Mrs Jennifer Licata is 1942488960 and her current mailing address is 6242 Hammock Park Rd, West Palm Beach, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942488960.
Healthcare Provider's Profile
Full Name | Mrs Jennifer Licata |
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Gender | Female |
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Speciality | Developmental Therapist |
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Location | 6242 Hammock Park Rd, West Palm Beach, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942488960
- Provider Enumeration Date: 01/31/2008
- Last Update Date: 09/25/2012
Medical Identifiers
Medical identifiers for Mrs Jennifer Licata such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942488960 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | OT10827 (Florida) | Secondary |
222Q00000X | Developmental Therapist | OT10827 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jennifer Licata is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jennifer Licata, OT 6242 Hammock Park Rd, West Palm Beach, FL 33411-6456 Ph: (561) 640-2920 | Mrs Jennifer Licata, OT 6242 Hammock Park Rd, West Palm Beach, FL 33411-6456 Ph: (561) 640-2920 |
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