Provider Demographics
NPI:1982001772
Name:JONAS, FARRIN ALEXANDRA (MS OTR/L)
Entity Type:Individual
Prefix:MS
First Name:FARRIN
Middle Name:ALEXANDRA
Last Name:JONAS
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 1:206 NW 41ST AVE
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-8045
Mailing Address - Country:US
Mailing Address - Phone:561-714-2945
Mailing Address - Fax:
Practice Address - Street 1:206 NW 41ST AVE
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-8045
Practice Address - Country:US
Practice Address - Phone:561-714-2945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-23
Last Update Date:2014-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 16699225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics