Manderichio, Dena
Manderichio, Dena is an sole proprietor health care provider with primary practice located at 549 Nw Lake Whitney Pl Ste 104 , Port Saint Lucie FL 34986-1606. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Manderichio, Dena can be contacted via phone (772) 301-1207.Contact Information
Primary practice address
549 Nw Lake Whitney Pl Ste 104
Port Saint Lucie FL 34986-1606
Phone: (772) 301-1207
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT19133 | Florida |
Profile Details
| NPI number | 1275183261 |
|---|---|
| LBN Legal business name | Manderichio, Dena |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2019 |
| Last updated | Sep 12th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275183261 | NPPES |
| Florida | Other | OT19133 | OT LICENSE |
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