Provider Demographics
NPI:1194827204
Name:CASSER, RONI MICHELLE (MS OTR/L)
Entity Type:Individual
Prefix:
First Name:RONI
Middle Name:MICHELLE
Last Name:CASSER
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5749 S UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-6114
Mailing Address - Country:US
Mailing Address - Phone:954-303-4798
Mailing Address - Fax:954-680-8978
Practice Address - Street 1:5749 S UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-6114
Practice Address - Country:US
Practice Address - Phone:954-303-4798
Practice Address - Fax:954-680-8974
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT7714225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics