Provider Demographics
NPI:1972895787
Name:MEJIA, JHANY E (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:JHANY
Middle Name:E
Last Name:MEJIA
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:PO BOX 661184
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33266-1184
Mailing Address - Country:US
Mailing Address - Phone:786-537-8971
Mailing Address - Fax:
Practice Address - Street 1:5740 NW 38TH ST APT K
Practice Address - Street 2:
Practice Address - City:VIRGINIA GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33166-5700
Practice Address - Country:US
Practice Address - Phone:786-537-8971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 13827225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist