Provider Demographics
NPI:1093023665
Name:MOLINA, CLAUDINE CAROL (MOT, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:CLAUDINE
Middle Name:CAROL
Last Name:MOLINA
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 NW 86TH AVE
Mailing Address - Street 2:# 702
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1248
Mailing Address - Country:US
Mailing Address - Phone:954-600-4104
Mailing Address - Fax:954-530-6405
Practice Address - Street 1:870 NW 86TH AVE
Practice Address - Street 2:# 702
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1248
Practice Address - Country:US
Practice Address - Phone:954-600-4104
Practice Address - Fax:954-530-6405
Is Sole Proprietor?:No
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 9838225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist