Provider Demographics
NPI:1225517634
Name:BELLANTON, JAIME LYNN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:JAIME
Middle Name:LYNN
Last Name:BELLANTON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:JAIME
Other - Middle Name:LYNN
Other - Last Name:EGGENBERGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:41 LANCASTER RD
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-8431
Mailing Address - Country:US
Mailing Address - Phone:561-847-6244
Mailing Address - Fax:
Practice Address - Street 1:2000 LOWSON BLVD
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-6008
Practice Address - Country:US
Practice Address - Phone:561-454-1130
Practice Address - Fax:561-278-6361
Is Sole Proprietor?:No
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT16174225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist