Provider Demographics
NPI:1265749261
Name:TREMINIO, INGRIS (MS OT)
Entity type:Individual
Prefix:MRS
First Name:INGRIS
Middle Name:
Last Name:TREMINIO
Suffix:
Gender:F
Credentials:MS OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3251 W 70TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-7102
Mailing Address - Country:US
Mailing Address - Phone:786-315-3541
Mailing Address - Fax:
Practice Address - Street 1:11011 SHERIDAN ST
Practice Address - Street 2:SUITE 209
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33026-1505
Practice Address - Country:US
Practice Address - Phone:954-431-5437
Practice Address - Fax:954-432-0202
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14310225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics