Grisnik, Deborah Hickernell

Grisnik, Deborah Hickernell is an individual health care provider with primary practice located at 910 N Jefferson St , Jacksonville FL 32209-6810. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Grisnik, Deborah Hickernell can be contacted via phone (904) 360-7022.

Contact Information

Primary practice address
910 N Jefferson St Jacksonville FL 32209-6810
Phone: (904) 360-7022
Fax: (904) 798-4544
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT 1342 Florida

Profile Details

NPI number 1952459505
LBN Legal business name Grisnik, Deborah Hickernell
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Apr 28th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952459505 NPPES
Florida MEDICAID 881767700
Florida MEDICAID 811876100

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