Provider Demographics
NPI:1972939965
Name:TOREN, JODI SUE (OTR)
Entity Type:Individual
Prefix:MS
First Name:JODI
Middle Name:SUE
Last Name:TOREN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MS
Other - First Name:JODI
Other - Middle Name:SUE
Other - Last Name:FANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1331 S FEDERAL HWY UNIT 344
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-6068
Mailing Address - Country:US
Mailing Address - Phone:915-274-4175
Mailing Address - Fax:
Practice Address - Street 1:55 PINEY MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-1297
Practice Address - Country:US
Practice Address - Phone:828-608-9572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-23
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15330225X00000X
NC11215225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist