Provider Demographics
NPI:1932707643
Name:JAMES FERRARA LYMPHEDEMA THERAPIST LLC
Entity Type:Organization
Organization Name:JAMES FERRARA LYMPHEDEMA THERAPIST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRARA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L,CLAT
Authorized Official - Phone:941-830-3749
Mailing Address - Street 1:1116 ROTONDA CIR
Mailing Address - Street 2:
Mailing Address - City:ROTONDA WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33947-2127
Mailing Address - Country:US
Mailing Address - Phone:941-830-3749
Mailing Address - Fax:
Practice Address - Street 1:1116 ROTONDA CIR
Practice Address - Street 2:
Practice Address - City:ROTONDA WEST
Practice Address - State:FL
Practice Address - Zip Code:33947-2127
Practice Address - Country:US
Practice Address - Phone:941-830-3749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-14
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty