Provider Demographics
NPI:1912402538
Name:NORTON, JUANA NARCISA (OTR)
Entity Type:Individual
Prefix:
First Name:JUANA
Middle Name:NARCISA
Last Name:NORTON
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:JUANA
Other - Middle Name:N
Other - Last Name:ARAUJO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:217 SW 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-5421
Mailing Address - Country:US
Mailing Address - Phone:305-528-8853
Mailing Address - Fax:
Practice Address - Street 1:217 SW 2ND AVE
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-5421
Practice Address - Country:US
Practice Address - Phone:305-528-8853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-26
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT12692225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty