Provider Demographics
NPI:1184903643
Name:JUST, CAROL ANN (OTD)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:ANN
Last Name:JUST
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2798 NE 27TH CIR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7546
Mailing Address - Country:US
Mailing Address - Phone:610-246-4564
Mailing Address - Fax:
Practice Address - Street 1:2798 NE 27TH CIR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7546
Practice Address - Country:US
Practice Address - Phone:610-246-4564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-15
Last Update Date:2014-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA000278/L225X00000X
FL7607225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist