Provider Demographics
NPI:1891362000
Name:CUEVAS, JENNIFER E (OTR/L)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:E
Last Name:CUEVAS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8210 FLORIDA DR APT 236
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-4568
Mailing Address - Country:US
Mailing Address - Phone:954-205-3960
Mailing Address - Fax:
Practice Address - Street 1:8210 FLORIDA DR APT 236
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-4568
Practice Address - Country:US
Practice Address - Phone:954-205-3960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT21279225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist