Provider Demographics
NPI:1255768495
Name:JAMBHEKAR, AMRITA D (OTR)
Entity type:Individual
Prefix:
First Name:AMRITA
Middle Name:D
Last Name:JAMBHEKAR
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7471 W. OAKLAND PARK BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-4921
Mailing Address - Country:US
Mailing Address - Phone:954-748-7555
Mailing Address - Fax:954-748-4910
Practice Address - Street 1:7471 W. OAKLAND PARK BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-4921
Practice Address - Country:US
Practice Address - Phone:954-748-7555
Practice Address - Fax:954-748-4910
Is Sole Proprietor?:No
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6907225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist