Provider Demographics
NPI:1093792525
Name:TORRES, JOANNE (OT)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7811 NW 187TH TER
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-5247
Mailing Address - Country:US
Mailing Address - Phone:305-274-4351
Mailing Address - Fax:305-274-1455
Practice Address - Street 1:10095 SW 88TH ST STE 103
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1797
Practice Address - Country:US
Practice Address - Phone:305-274-4351
Practice Address - Fax:305-274-1455
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012425225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist