Provider Demographics
NPI:1770806044
Name:LARENAS-MICHALAK, CLAUDIA MICHELLE (CLAUDIA MICHALAK OTR)
Entity type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:MICHELLE
Last Name:LARENAS-MICHALAK
Suffix:
Gender:F
Credentials:CLAUDIA MICHALAK OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7782 HOFFY CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-7839
Mailing Address - Country:US
Mailing Address - Phone:561-262-6419
Mailing Address - Fax:
Practice Address - Street 1:4780 DATA CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-8331
Practice Address - Country:US
Practice Address - Phone:561-386-8077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-01
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10474225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist