Provider Demographics
NPI:1891003455
Name:GUILLAUME, JANIKA CARIDAD (OTR/L, COTA/L)
Entity Type:Individual
Prefix:MS
First Name:JANIKA
Middle Name:CARIDAD
Last Name:GUILLAUME
Suffix:
Gender:F
Credentials:OTR/L, COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7541 NW 6TH CT
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-1006
Mailing Address - Country:US
Mailing Address - Phone:954-594-4359
Mailing Address - Fax:
Practice Address - Street 1:7060 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4650
Practice Address - Country:US
Practice Address - Phone:305-267-3264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-16
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10533224Z00000X
FL19692225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant