Provider Demographics
NPI:1467126367
Name:PAPWORTH, OPHELIA ANNIE (LMT)
Entity Type:Individual
Prefix:MRS
First Name:OPHELIA
Middle Name:ANNIE
Last Name:PAPWORTH
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5308 NW 1ST WAY
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-2307
Mailing Address - Country:US
Mailing Address - Phone:854-579-5459
Mailing Address - Fax:
Practice Address - Street 1:5308 NW 1ST WAY
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-2307
Practice Address - Country:US
Practice Address - Phone:854-579-5459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-04
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA72942225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist