| Smita Sunrise OT LLC | |
|
21818 Rainbow Lake Ct Estero FL 33928-6296 | |
| (850) 559-4419 | |
| Not Available |
| Full Name | Smita Sunrise OT LLC |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 21818 Rainbow Lake Ct, Estero, Florida |
| Authorized Official Name and Position | Smita Patel (OCCUPATIONAL THERAPIST) |
| Authorized Official Contact | 8505594419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smita Sunrise OT LLC 21818 Rainbow Lake Ct Estero FL 33928-6296 Ph: (850) 559-4419 | Smita Sunrise OT LLC 21818 Rainbow Lake Ct Estero FL 33928-6296 Ph: (850) 559-4419 |
| NPI Number | 1497503205 |
|---|---|
| Provider Enumeration Date | 05/07/2024 |
| Last Update Date | 05/13/2024 |
| Certification Date | 05/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497503205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (NU) | Primary |
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