Provider Demographics
NPI:1205945979
Name:MAGRINA, ADRIANA (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:ADRIANA
Middle Name:
Last Name:MAGRINA
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 1:11260 SW 1ST CT
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33325-2933
Mailing Address - Country:US
Mailing Address - Phone:954-916-1732
Mailing Address - Fax:954-530-0143
Practice Address - Street 1:11260 SW 1ST CT
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33325-2933
Practice Address - Country:US
Practice Address - Phone:954-916-1732
Practice Address - Fax:954-530-0143
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0004159225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist